Early enrollment is running ahead of expectations, and stronger quality CMS star ratings could lift Medicare Advantage ...

AMA says it wants Republicans and Democrats to unite on an end-of-year legislative package that makes "real progress toward ...

The company is focusing on employer coverage and specialty pharmacy as it prepares to roll out a rebate-free pharmacy benefit ...

B reimbursement is being lowered to the Average Sales Price minus 28% to more accurately align Medicare payments with ...

OptumCare has acquired the Reliant Medical Group in Massachusetts, the latest example of a UnitedHealth Group division buying a provider. Reliant became part of OptumCare, the healthcare delivery arm ...

Humana and athenahealth have expanded their electronic prior authorization collaboration across athenahealth's network of more than 180,000 physicians and clinicians, aiming to reduce paperwork and ...

Health plans may pursue screenings members already received when clinical records remain trapped in separate workflows, says ...

CVS Health, which acquired Aetna in 2018, is separating the insurer from its pharmacy business, CEO and Chairman David Joyner announced during the company's third-quarter earnings call on Wednesday.

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

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

The FTC issued similar warnings to 21 companies in December 2024, flagging misleading claims about health plan benefits, ...