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

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 ...

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

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 agency says the CMS and MA organizations aren’t doing enough to screen durable medical equipment providers, especially ...

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

Actual disenrollment will depend heavily on how easy states make it for young adults, who move frequently and participate in ...

Physio Solutions, which does business as medlitix, is the 17th company certified to settle out-of-network payment disputes under the No Surprises Act as arbiters face increasing scrutiny from ...

Eighteen plans scored a perfect 5 stars in the standards organization’s ratings for 2026, up from 11. There are no ...