Addressing the cost means all parties must work from a shared reference, and clinical quality can be a powerful cost lever.

The rule, released Thursday, builds on Trump administration’s priorities, including cutting Medicare reimbursement for drugs ...

Medicare is spending more on quality bonuses despite fewer enrollees in eligible plans, the health policy research group said — a concerning trend putting more stress on Medicare’s coffers that could ...

Like its peers, Elevance has struggled with flagging margins in government programs as higher medical utilization is met with what payers argue is inadequate reimbursement in Medicare and Medicaid.

The Trump administration on Monday released long-awaited Medicaid work requirements guidance for states, finalizing a rule that will affect healthcare access for millions of Americans — and create a ...

Fewer companies may be impeding the flow of digital health information, but some could be doing so frequently, the ONC said.

UnitedHealth has named Conway the new chief executive officer of Optum, the healthcare behemoth’s health services division. Effective May 6, Conway will replace Heather Cianfrocco, who is being ...

Barnes will officially take on the chief executive position at the drug discount and digital health company on Jan. 1, according to a press release. Courtesy of Business Wire/GoodRx She joins GoodRx ...

Buyers are being more selective amid heightened policy and reimbursement pressure in healthcare, according to the analysis.

The letter to the CMS from Democrats is the latest salvo from lawmakers concerned that WISeR is delaying care to Medicare ...

Whoop made changes to its blood pressure insights feature that satisfied the FDA’s requirements for wellness devices.

The healthcare sector wants the HHS to coordinate its AI strategy across agencies, provide implementation and governance ...