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

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

The Trump administration is expanding Medicare’s new technology-based payment experiment to cover more chronic conditions, ...

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

Employers need to start offering more perks like education benefits in order to retain young workers, according to a survey ...

The layoffs come months after CommonSpirit announced it was ending its service contract early and exiting its stake in the ...

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 ...

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

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

A record number of hospitals are fully sharing data on the cost of their services, thanks to the CMS stepping up enforcement.

The CMS released draft star ratings, including the thresholds for reaching those ratings, to plans earlier this week. The grading sheet got stricter, which doesn’t bode well for insurers, one MA ...

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