A fuller picture is emerging of how the expiration of enhanced subsidies is affecting the Affordable Care Act exchanges and ...

The civil rights enforcement arm of the HHS will reinstate a division dissolved during the Biden administration that focuses ...

Following pressure from progressive Democrats and advocacy groups, the Biden administration is redesigning a controversial payment model that aims to introduce value-based payment arrangements in ...

The study results highlight “a significant disconnect between how employers believe they are supporting employees and how ...

GoodRx has notched a third partnership with a pharmacy benefit manager to integrate its drug coupons at the point of sale, further expanding GoodRx’s access to the commercially insured PBM market. For ...

Of the major healthcare headlines this year, some of the most notable highlighted the escalation of cyberattacks and data breaches. Cyberattacks in healthcare can have big consequences: They are both ...

Prior authorization requires providers to submit paperwork to insurers certifying that treatments are medically necessary prior to performing them. Insurers argue that prior authorization curbs ...

The COVID-19 pandemic highlighted the struggles of front-line healthcare workers including long-standing issues like staffing shortages and burnout. Hospitals still struggle with staffing, with over ...

It's a transformative time in the healthcare industry — and not just because of what's happening in Washington. Many providers are finding themselves up against the wall in the face of rising expenses ...

The year-end report marks the first time Kaiser Permanente has reported consolidated financial statements for its core health system, health plan and Risant. Collectively, Kaiser is massive with 55 ...

The pharmacy benefit manager marketplace is dominated by a handful of large players, many of which are vertically consolidated with health insurers, according to a new paper from a top medical ...

The Trump administration continues to open the doors to the cheap, high-deductible coverage, to the worry of insurance ...