Dive Brief: An appeals court is set to rehear a case from providers trying to restrict what factors insurers consider in calculating a key metric that arbiters use to determine fair payment ...

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 ...

More than 1 million jobs could be lost due to Medicaid and Supplemental Nutrition Assistance Program cuts, including 477,000 healthcare roles, according to the report. Kameleon007 via Getty Images ...

Employers have absorbed the majority of cost increases over the past four years, and they likely cannot continue to do so,” ...

The guidance should help health systems safely manage and monitor AI tools in a financially sustainable manner, which can be “a real challenge” for providers, said CHAI CEO Dr. Brian Anderson.

Dive Brief: A federal judge on Monday vacated the National Institutes of Health’s directives to eliminate research funding for diversity, equity and inclusion-related projects. In February, NIH ...

Many popular proposals to reform the PBM industry are missing the forest for the trees, drug market experts said in ...

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

On Friday, the Trump administration finalized a rule that’s expected to cause between 725,000 and 1.8 million people to lose ...

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

Major insurers have agreed to six commitments that should make accessing care easier for patients while removing ...