CVS Health's health benefits arm, Aetna, is using artificial intelligence in its new Care Paths program that connects members with diabetes, joint health and maternity needs to a personalized view of ...

ChristianaCare Health System in Delaware has agreed to pay more than $47 million to settle a whistleblower lawsuit alleging the health system gave kickbacks to physicians for patient referrals. The ...

Optum is closing a plant in Ohio, laying off 129 employees, according to a May 16 letter from Optum to the Rapid Response Program Administrator in that state. Optum gave the mandated WARN notice, the ...

Palo Alto, California-based Theranos, the testing company that could upend America’s diagnostics market, will partner with Capital BlueCross in Harrisburg, Pennsylvania, to bring the company’s new ...

Skilled nursing facilities in 2027 will get a 2.4% payment increase based on the final rule released by the Centers for Medicare & Medicaid Services on Wednesday. The amount is based on a final SNF ...

The Centers for Medicare & Medicaid Services has announced the end of Part D subsidies for standalone prescription drug plans ...

The Centers for Medicare & Medicaid Services has issued payment updates in final rules for Inpatient Psychiatric Facilities and Inpatient Rehabilitation Facilities. For FY 2027, CMS is updating ...

A third of survey respondents identified measurable cost savings as the most important outcome they expect from AI ...

Humana plans to exit some of its least profitable Medicare Advantage markets in 2027, a move that is expected to impact an estimated 600,000 members. Rather than cut uniformly across the board, Humana ...

The ruling raised Clover’s largest Medicare Advantage contract from 3.5 to 4.5 stars, making it eligible for an estimated ...

Bringing clinicians, nurses and other staff impacted by the workflow into each AI initiative's design and implementation process can help ensure adoption, says the University of Maryland Medical ...