Health plans need to understand why integration is still the most impactful option for their pharmacy benefits model.

Most of Centene’s 61,000 employees will be eligible to apply for voluntary separation. But the program doesn’t amount to a ...

Express Scripts and the PBM lobby are following in CVS Caremark’s footsteps in filing complaints challenging the FAIR Rx Act, ...

The inpatient pay raise reflects a market basket increase of 3.3%, reduced by a 0.7 percentage point productivity adjustment, according to a CMS fact sheet on the final rule. The rule also includes ...

The average number of issuers fell from a record high of 9.6 per state in 2025 to just nine this year, according to the ...

Regulators are locking in new 2026 stars for plans if they’re higher under the new methodology. But the recalculation ...

Despite major financial struggles, some providers at a physician group in Washington, D.C. say their new — and much larger — ...

The No Surprises Act “might not have the effects that CBO anticipated,” the agency wrote in petitioning for more research ...

The drug middlemen lobby has had a busy week. It’s the second major lawsuit the PCMA has filed against a state law reforming ...

The company is working with Nvidia to build a foundation model for clinical conversations, and it scored a strategic ...

OhioHealth has agreed to void problematic contracts with insurers and not seek such terms moving forward, the Justice ...

Joint Commission leaders explain how the standards group’s new AI certification is designed to work for everyone from major ...