The sale lets Ascension shed insurance risk while Aetna gains a stake in a profitable plan serving high-margin dual-eligible members.

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

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

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 ...

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 ...

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

Founded in 2018, Abridge has rolled out its documentation assistant to a number of health systems over the past year. The product records conversations between providers and patients, and then drafts ...

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

The drugmaker is the latest to impose a reporting requirement on 340B providers, saying stricter guardrails are needed to ...