PacificSource, a health insurer serving the Pacific Northwest, is leaving the Affordable Care Act market. The not-for-profit insurer said it is making "difficult but necessary decisions to ensure we ...

Three hospitals have sued CVS Health alleging the company redirected $250 million in savings from the 340B program. Mount Sinai Hospital, including St. Luke's-Roosevelt Hospital and Mount Sinai Beth ...

Providence Health Plan has announced it is ending most of its health insurance business beginning in 2027. This includes its Individual and Family business and Employer Group/Commercial plans.

An AMA report and other survey findings point to a healthcare AI landscape that is advancing unevenly across stakeholders.

Financial implications do not include high-stake bonus payments, but NIH data shows patients are willing to pay more, and ...

The Cigna Group recorded $1.87 billion in profit in the third quarter of 2025, beating analysts’ expectations as shares ticked up prior to the company’s earnings call Thursday morning. Touting the ...

Retailers are well-positioned to disrupt healthcare, with a new Definitive Healthcare report showing that retail clinics have seen a 200% increase in utilization over the past five years – higher than ...

Thirty-seven percent of health systems are using generative AI within the rev cycle and 45% are applying it to denial-related ...

Employers are becoming more interested in switching to a pharmacy benefit manager they perceive as being more transparent than the “big three,” according to new data published by the National Alliance ...

Meaningful progress requires alignment across providers, payers, EHR developers and others, not isolated adoption, CMS says.

Humana has become the latest insurer to be sued over allegedly using artificial intelligence to deny care, with a class action lawsuit claiming the company's nH Predict AI model was used to deny care ...

The Centers for Medicare and Medicaid Services is implementing a six-month, nationwide moratorium on new Medicare enrollment for hospices and home health agencies. The stoppage is part of efforts of ...