The final settlement wraps up 12 years of litigation over Blue Cross and Blue Shield plans’ alleged collusion to lower ...

DaVita, which operates more than 2,600 outpatient dialysis centers across the country, said it first discovered the cyber ...

The committee will oversee areas where UnitedHealth has struggled or faced public scrutiny: underwriting and forecasting, ...

CMS will provide states monthly reports of beneficiaries whose citizenship or immigration status cannot be confirmed. States are expected to take “appropriate actions” including limiting coverage, the ...

A federal judge has ordered CVS Caremark to pay almost $290 million in damages and penalties after a whistleblower proved the ...

Shakespeare famously wrote in The Tempest, “What’s past is prologue,” to express how events of the past set the stage for developments in the present. That sentiment was clear for health insurers in ...

Employers surveyed by the Business Group on Health are bracing for the largest annual increase in healthcare costs in more ...

Trump administration finalizes health IT rule on prior authorization, electronic prescribing The regulation should enable workflow automation to limit paperwork burdens on providers, regulators said.

Despite revenue growth, healthcare payers have faced increasing margin pressures over the past year as healthcare costs continue to climb. Introducing new efficiencies into key operations such as ...

Reed O’Connor’s ruling is a setback for smaller MA plans — and efforts to curb predatory marketing to seniors.

Don Trigg, an alum of primary care and navigation firm Apree Health and EHR vendor Cerner, will take up the role on Sept. 2.