Since requirements will start January 1, 2017, the court agrees that states should receive a 6-month stay of enforcement.

Medicare Part D may be the target of reforms, but a new analysis from consulting firm Avalere has found that beneficiaries may still face challenges when it comes to affording their medications. The ...

The rule gives large self-insured health plans more information on PBM compensation and annual audit rights, with ...

Led by an aging population and an increased incidence of chronic disease and conditions such as behavioral health, inpatient (IP) and outpatient (OP) volumes will continue to increase over the next ...

Changi General Hospital's Dr. Weien Chow says the hospital vets AI tools using a framework with four "gates" to identify the ...

Centene reported a loss of $71 million in the third quarter, compared to a loss of $6.63 billion for the same period last ...

HealthSpan Partners, an affiliate of Bon Secours Mercy Health, and Surgery Partners say they plan to establish one of the country’s largest outpatient surgical care platforms.

From accurately matching patients to querying and sharing clinical records, IHE infrastructure connects organizations through trusted frameworks to keep healthcare data flowing, says The Sequoia ...

HCA's payer mix shift follows the expiration of the ACA enhanced tax credits at the end of 2025, says CEO Samuel Hazen.

The companies will make technical improvements for self-funded plans in an expansion of the government’s 2025 Prior ...

"The District Court of Maine denied similar motions to intervene based on the same facts and law less than 12 months ago, and ...

Among adults insured throughout the year, 30% were underinsured, meaning their deductibles or out-of-pocket costs were high ...