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

The health system and Thermo Fisher will create a company called Precure to generate population-scale molecular data to ...

A judge in Texas last week approved a bankruptcy plan for CVS’ Omnicare, winding down the pharmacy services division after it sold its business operations for $250 m ...

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

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

The Trump administration has certified a new arbiter to decide out-of-network payment disputes between providers and insurers through the process set up by the No Surprises Act. Physio Solutions, ...

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

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

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

Johnson & Johnson is requiring hospitals and medical clinics to submit more documentation in order to get upfront savings on drugs in a federal program, the latest escalation in a war between ...

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