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

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

After a monthslong wait to join their new employer, providers at Medical Faculty Associates in Washington, D.C., opened their emails in late May. An agreement had been finalized to transition ...

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

Healthcare continues to be the most expensive industry for data breaches, beating out other sectors for the 13th year in a row, according to research conducted by the Ponemon Institute and published ...

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

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 goal of the restructuring is to cut back on bureaucracy to better serve Blue Shield’s members, said Kristina Leslie, the chair of the company’s board, in a statement. Blue Shield has been more ...

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 ...

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

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