President Donald Trump signed an executive order on Monday recommending that the combined measles, mumps, rubella, or MMR, vaccine be administered in three separate shots and that the number of ...

AI helps but the real challenge is the adoption curve, especially for smaller payers, says Fawad Butt, CEO at Penguin Ai.

Health insurers in the small-group market are proposing a median premium increase of 14% for 2027, according to a KFF analysis of rate filings from 295 insurers across all 50 states and Washington, ...

If Medicare were to cover anti-obesity medications (AOMs), federal spending would increase about $35 million between 2026 and 2034, finds a new Congressional Budget Office report. Total direct federal ...

The Regulatory Alignment for Predictable and Immediate Device (RAPID) coverage pathway aligns CMS and FDA evidence in advance to reduce review times.

Clover Health is facing four proposed class-action lawsuits over a cybersecurity incident that potentially exposed members' personal and protected health information. The complaints were filed between ...

The company reports stronger results across all operating segments but expects pressure from its 340B business and lower CVS ...

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

The Regulatory Alignment for Predictable and Immediate Device (RAPID) coverage pathway aligns CMS and FDA evidence in advance to reduce review times.

The best regulations come out of all sides telling their story for legislation that’s balanced and not heavy-handed, says ...

AI governance isn't owned by IT alone, says Dr. Deepti Pandita, UC Irvine Health's CMIO and VP of clinical informatics; every employee shares responsibility for using AI safely and strengthening AI ...

The ruling raised Clover's largest Medicare Advantage contract from 3.5 to 4.5 stars, making it eligible for an estimated $120 million in 2027 payments.