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

CMS and DOGE are aligning stakeholders to drive greater momentum toward fast, seamless clinical data sharing, according to Bob Watson, Health Gorilla CEO. Healthcare Finance Newsletters give ...

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

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

In a crowded digital ecosystem, the DiMe Seal and the CARIN Code of Conduct enable CMS to surface high-quality apps for Medicare patients, say the Digital Medicine Society's Ben Vandendriessche and ...

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

Margin improvement and MA member retention are doable, as are top-quartile star-rating results in 2028, company says.

The Centers for Medicare and Medicaid Services is extending the application deadline for drug manufacturers to apply to the ...

Company credits member retention and its Clover Assistant technology in support of clinical decision-making at the point of ...

Cigna Group Chair and CEO David Cordani opened the company’s Q1 earnings call by saying it was “bittersweet” since this was ...

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 ...

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, ...