Optum Rx has announced that it is replacing the traditional pharmacy benefit manager model with a transparent, fee‑based ...

Burdensome payment policies, denials and reimbursement delays made it "financially and operationally unsustainable" to ...

Nearly 75% of the primary health professional shortage areas are in rural or partially rural areas, AHA says. The American ...

UnitedHealthcare is eliminating authorization requirements for 30% of healthcare services that previously required insurer ...

The latest crackdown on Medicaid fraud directs states to submit a plan within 30 days on a provider revalidation strategy.

Children’s Mercy in Missouri is building a new acute patient tower in Kansas City that will increase capacity by 25% to 30%.

Ambulatory surgery centers (ASCs) generated $45 billion in revenue in 2024, a figure projected to climb to $57 billion by 2030. ASC volumes are expected to expand by 9% between 2023 and 2028, ...

CVS Health's earnings in the first quarter were bolstered by its insurance segment, Aetna. The company on Wednesday reported a 12.5% adjusted operating income increase in its Health Care Benefits ...

Steve Holt, PointClickCare VP of government affairs, says the Rural Health Transformation Program will enable hospitals to adopt AI and other technologies that can help them retain their clinical ...

The Centers for Medicare and Medicaid Services is proposing updates to 2020 Transparency in Coverage rules for greater price transparency and easier access for consumers. The proposed rule was ...

The University of Pittsburgh Medical Center (UPMC) and CommonSpirit Health have signed a definitive agreement to transfer ...