Arkansas passed a law last year giving pharmacies the authority to sue PBMs for underpayments. Twelve independent pharmacies ...

Eighteen plans scored a perfect 5 stars in the standards organization’s ratings for 2026, up from 11. There are no ...

The Trump administration is expanding Medicare’s new technology-based payment experiment to cover more chronic conditions, ...

Employers need to start offering more perks like education benefits in order to retain young workers, according to a survey ...

The layoffs come months after CommonSpirit announced it was ending its service contract early and exiting its stake in the ...

Physio Solutions, which does business as medlitix, is the 17th company certified to settle out-of-network payment disputes under the No Surprises Act as arbiters face increasing scrutiny from ...

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 ...

It’s the second wave of layoffs at the nonprofit this year. Trinity said financial pressures and increasingly complex ...

The drugmaker is the latest to impose a reporting requirement on 340B providers, saying stricter guardrails are needed to ...

Actual disenrollment will depend heavily on how easy states make it for young adults, who move frequently and participate in ...

A record number of hospitals are fully sharing data on the cost of their services, thanks to the CMS stepping up enforcement.

The agency says the CMS and MA organizations aren’t doing enough to screen durable medical equipment providers, especially ...