The American Medical Association is urging CMS to maintain its Jan. 1, 2027, electronic prior authorization deadline. CMS broadened prior authorization reform efforts — and built upon payers’ existing ...

Nearly three in four small and mid-size employers that currently offer traditional group health insurance are considering ...

A federal judge in Texas signed off on the Chapter 11 bankruptcy plan for Omnicare, CVS Health’s long-term care pharmacy, ...

Of the 956 health plans rated by the NCQA in 2026, 15 received a rating of 2 stars or lower. The ratings, published Sept. 15, ...

Troy Hildreth has left his role as president of WellCare of North Carolina. Under Centene, WellCare of North Carolina was the ...

The cost of healthcare remains one of the greatest challenges facing families, employers, and public programs. While ...

HCA CFO Mike Marks says claims AI lags behind payers, highlighting challenges in denials and underpayments at the ...

Blue Cross and Blue Shield of Minnesota named Todd Hedtke as treasurer and chief investment officer. Mr. Hedtke shared the ...

Raleigh, N.C.-based WakeMed has reached a three-year contract for UnitedHealthcare’s employer-sponsored commercial plans, effective Oct. 15. WakeMed shared the update Sept. 17. The contract will grant ...

Nationally, employees contribute an average of $7,314 per year toward the cost of employer-sponsored family health insurance, according to an analysis from KFF. The 2025 data comes from the Agency for ...

Forty states join CMS Medicaid drug pricing model to lower drug costs and save billions in federal and state Medicaid spending.

Elevance Health is laying off 216 employees in Louisiana as part of the wind-down of its Medicaid business in the state. The ...