An air ambulance provider is accusing Anthem Blue Cross and Blue Shield of failing to pay more than 1,200 arbitration awards, adding another front to the expanding legal battle over the No Surprises ...

Membership and profitability declined in both the individual and group health insurance segments in 2025, with individual coverage experiencing a larger financial impact.

The additional charge would affect private employers seeking workers through the annual visa cap.

DOL OIG officials recommended that DOL leaders give DOL security operations more independence from the rest of the department, improve the process for reviewing DOL political appointees' travel, ...

Dr. Oz, the head of CMS, is now calling the plans "CHOICE Arrangements" and asking states to do more to support them.

In other words, the entry of biosimilars into a reference product's market does not guarantee patient savings. Benefit design determines whether lower-cost products lead to lower costs for the ...

"Understanding the financial challenges LGBTQ+ adults face when accessing health care can help identify persistent gaps in affordability and inform efforts to improve access to needed care and ...

That experience should concern every health care executive in America because it demonstrates how easily patients — and revenue — can walk out the door. One of Ohio's $5+ billion health systems could ...

A Milwaukee hospital alleges CVS used its control of a PBM, specialty pharmacy and third-party administrator to reduce reimbursements and retain savings intended to support patient care.