Nearly 50 groups representing employers, unions and patients are urging the Trump administration to reform the independent dispute resolution process under the No Surprises Act. In a letter sent to ...

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

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

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 ...

Health insurers brought in record profits during the pandemic as individuals delayed non-essential medical services, but some have stumbled this year amid pressures like normalizing utilization, ...

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 ...

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 ...

A group of independent pharmacies is suing Cigna-owned Express Scripts for allegedly colluding with rival pharmacy benefit manager Prime Therapeutics. The proposed class action lawsuit filed in ...

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 ...

Challenges await the healthcare industry, which is still recovering nearly four years after the COVID-19 pandemic began. Insurers and hospitals face rising costs while digital health companies ...

Higher patient volumes and cost-cutting programs led Trinity Health to trim its operating losses in earnings for its first half fiscal year 2024. The nonprofit health system’s operating loss dropped ...

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 ...