It’s at least the fifth insurer to turn to the courts in a bid to hike its ratings for next year. The lawsuits make near-identical legal arguments. But CVS’ is more dramatic in its scope and alleged ...

Insurers and employers are asking the Trump administration to stop recertifying No Surprises Act arbiters until the law’s controversial dispute resolution process is reformed. The Coalition Against ...

After a buoyant third quarter, Centene now thinks its Medicare business will break even one year ahead of schedule. Staffing ...

As a Jan. 1 deadline looms for payers to adopt new prior authorization tech, Epic’s Vice President of Value-Based Care Ryan ...

HealthSpan, the investment arm of Bon Secours, wants to take Surgery Partners private and absorb its 30-state outpatient ...

Cuts to federal programs and the loss of enhanced subsidies on the exchanges could deepen an existing healthcare ...

Enrollees must jump through more hoops to verify their income and residency status before receiving subsidies for Affordable ...

Audit screen-to-face time. Examine the ratio of time providers spend facing the computer versus the patient. Cross-reference ...

UPDATE: Aug. 23, 2023: Allina Health will "formally transition away” from its policy of interrupting non-emergency, outpatient clinic care for patients with significant debt, a company spokesperson ...

The St. Louis-based insurer is adding onto a growing pile of lawsuits from insurers trying to get their quality scores ...

The regulation cuts 14 criteria and revises seven to make ONC's health IT certification easier to achieve, but delays ...

Amazon, Google, Meta and other employers agreed to reform their prior authorization policies for their self-funded health ...