The government has announced pricing agreements with 26 pharma companies. But the deals could stymie other plans to lower the country’s drug spend. The health system and Thermo Fisher will create a ...

Ten drugmakers will see 21 of their drugs move from upfront discounts to after-the-fact payments in the drug discount program ...

AdventHealth and CommonSpirit joined together in 1996 to form Centura, a management company overseeing hospitals in Colorado and Kansas that later expanded to Utah. Centura grew to become one of the ...

The governors of Oregon, California, Maine, New York and Virginia don’t think it’s possible for states to meet the Jan. 1 ...

About 97,000 people will be admitted to U.S. hospitals today. Behind each admission is a parallel process: determining whether the care delivered can be supported for reimbursement. Building AI for ...

A Leerink Partners analysis of Medicare Plan Finder shows how the largest MA carriers are cutting dental allowances and ...

Newly released CMS data shows that insurers continue to adapt to pressure in the privatized Medicare program by culling plans ...

The insurer said it’s trying to restrict hospitals from charging higher rates for services at off-campus outpatient ...

Studies from insurers say AI-backed billing tools used by providers raise health costs. But the companies making those tools ...

The Americans with Disabilities Act and related federal laws define disability broadly, but recent federal court decisions ...

Long COVID represents another blow to a healthcare workforce already grappling with burnout and staffing shortages, according ...

Philadelphia-based insurer Independence Blue Cross has agreed to pay $22.5 million to settle allegations it defrauded Medicare by knowingly submitting inflated diagnosis codes in Medicare Advantage, ...