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

About 12 million Americans can’t access telehealth because broadband is unavailable or slow, according to new research. Most live in rural areas, which experts say could benefit heavily from better ...

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

The insurer is bundling preapprovals for all types of cancer care into one upfront request in a bid to cut back on paperwork ...

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

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

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 ...

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

Employers need to start offering more perks like education benefits in order to retain young workers, according to a survey from the Harris Poll. That’s notable for employers, who need to recruit ...

The Trump administration is expanding Medicare’s new technology-based payment experiment to cover more chronic conditions, including COPD, substance use disorder and tobacco cessation.

Physio Solutions, which does business as medlitix, is the 17th company certified to settle out-of-network payment disputes ...