The best strategy to maximize cost savings for preference-sensitive surgeries results from pulling two levers: reducing ...

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 ...

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

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

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

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

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

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

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

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 ...

The Office of Health Technology and Products is the latest technology development from the CMS as it doubles down on digital ...