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

CVS Health’s Aetna insurance division is combining all the different preapproval requirements for cancer care into just one unified request, as payers continue to reform one of the biggest pain points ...

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

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

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 ...

It’s the second wave of layoffs at the nonprofit this year. Trinity said financial pressures and increasingly complex ...

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

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

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 ...

The Department of Veterans Affairs has selected Amwell to facilitate telehealth delivery across the agency. Amwell’s platform ...

Nurses in the U.S. can use Oracle’s clinical artificial intelligence agent to search for and navigate patient charts via ...