The agency said the pause would help crack down on what it says is fraud among new brokers on the exchanges. It also announced on Tuesday it would cancel the enrollments of more than 760,000 people.

The CMS administrator’s comments Tuesday at an event hosted by an MA lobby suggest that the Trump administration remains ...

With the rollout of the new EHR in Kentucky and Ohio, the VA has completed eight of its planned 13 deployments this year. The Trump administration has been accelerating the distribution of the records ...

The new lawsuit, filed on behalf of five Medicaid enrollees and a swath of provider groups, says the CMS narrowed exemptions ...

Patrick Velliky is confident the No Surprises Act is lowering out-of-network spending, despite research to the contrary.

Despite a $2.8B settlement over BlueCard program disputes, five HCA-affiliated hospitals say the program still traps them in red tape.

Plans are scrutinizing every controllable cost. But one of the largest costs is healthcare’s greatest blind spot: the full ...

Newly released HHS OIG audits of HumanaChoice and UnitedHealthcare of Wisconsin found both plans frequently exaggerated the ...

The insurer is bundling preapprovals for all types of cancer care into one upfront request in a bid to cut back on paperwork ...

Arkansas passed a law last year giving pharmacies the authority to sue PBMs for underpayments. Twelve independent pharmacies ...

Patient safety could be at risk if agentic AI tools are rolled out without proper guardrails, Imprivata’s chief medical and ...

Employed doctors report worse well-being than independent practitioners, with workload and administrative burden driving ...