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

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

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

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

North Country HealthCare is the “only game in town” for care delivery in some of the regions it serves, said Dr. Jennifer Cortes, quality and population health medical officer at the federally ...

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 ...

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

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 ...

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

Robert Hunter will focus on UnitedHealthcare’s “modernization agenda” in the new role. It’s the latest in a slew of ...

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

The findings add new fodder for critics who say 340B has ballooned out of control with no corresponding benefit to patients.