UnitedHealth Group's UnitedHealthcare unit has posted a list of procedure codes for about 1,700 procedures that will no longer be subject to routine prior authorization review requirements. The ...

These agreements bring the total number of pharmaceutical manufacturers with MFN deals to 26, covering nearly 90% of the branded drug market.

The retailer allegedly filled invalid prescriptions beginning in June 2013, according to the agency's complaint.

The judge ruled on disputes involving the proposed testimony of just five of the many witnesses that the Blues and CVS may call up at a trial, if the case goes to trial.

Aon today announced plans to buy USI Insurance Services from KKR for $17 billion in cash. Aon executives talked about how adding USI could help Aon reach more "middle market" companies.

The agency alleged that The Villages Health System, based in the 55-plus community of The Villages in central Florida, submitted false diagnosis codes to increase payments.

The dispute-resolution system is protecting patients from unexpected bills, but researchers warn that rapidly rising awards and administrative expenses could increase health plan costs.

With more than two-thirds of employers reporting that state leave laws add significant complexity to their work, small and midsize businesses often turn to their benefits advisors to help them ...

This projection marks the fourth consecutive year of elevated health care cost trends approaching double digits and extends one of the most sustained periods of health care inflation employers have ...

Besides the millions in direct payments to doctors, brand drugmakers spend billions yearly on tax-deductible direct-to-consumer advertising to boost demand for their most costly products and engage in ...

Simple Healthcare says one of the employers in its AI system test group learned it could cut spending by about 22% by capping hospital payments at 200% of the Medicare payment rate; using "reference ...

"For 2025, the Individual and Group segments experienced declines in both membership and profitability, with the Individual segment suffering a larger financial impact," according to MFA's ...