The governors of Oregon, California, Maine, New York and Virginia don’t think it’s possible for states to meet the Jan. 1 ...

Ten drugmakers will see 21 of their drugs move from upfront discounts to after-the-fact payments in the drug discount program ...

A Leerink Partners analysis of Medicare Plan Finder shows how the largest MA carriers are cutting dental allowances and ...

North Country HealthCare is the “only game in town” for care delivery in some of the regions it serves, said Dr. Jennifer Cortes, quality and population health medical officer at the federally ...

The insurer said it’s trying to restrict hospitals from charging higher rates for services at off-campus outpatient ...

About 97,000 people will be admitted to U.S. hospitals today. Behind each admission is a parallel process: determining whether the care delivered can be supported for reimbursement. Building AI for ...

Newly released CMS data shows that insurers continue to adapt to pressure in the privatized Medicare program by culling plans ...

AdventHealth and CommonSpirit joined together in 1996 to form Centura, a management company overseeing hospitals in Colorado and Kansas that later expanded to Utah. Centura grew to become one of the ...

Long COVID represents another blow to a healthcare workforce already grappling with burnout and staffing shortages, according ...

Studies from insurers say AI-backed billing tools used by providers raise health costs. But the companies making those tools ...

Amid growing public debate over how best to analyze spending in MA versus traditional Medicare, Dr. Amol Navathe, the leader ...

Robert Hunter will focus on UnitedHealthcare’s “modernization agenda” in the new role. It’s the latest in a slew of ...