Beginning next year, the CMS will launch an AI-powered prior authorization process for some services as it seeks to cut ...

The HHS wants to move oversight of the controversial drug discount program to the CMS, which has a more aggressive history ...

Health plans have plenty of programs and benefits designed specifically to address the mounting behavioral health crisis.

The judgment comes in a dispute over a South Carolina policy, but is expected to have sweeping implications nationwide.

According to the United Network for Organ Sharing (UNOS), more than 90,000 people are currently on the kidney transplant ...

The agency said it issued the import alerts because it “continues to have concerns related to outstanding Quality System ...

Patrick Conway, who recently became chief executive of the larger Optum health services division, will replace Dr. Amar Desai ...

The layoffs will impact employees of Prospect’s management services organization, according to notices filed with state ...

Many popular proposals to reform the PBM industry are missing the forest for the trees, drug market experts said in Washington, D.C. Instead, Congress should go after the root issue: the oligopoly ...