B reimbursement is being lowered to the Average Sales Price minus 28% to more accurately align Medicare payments with ...

Early enrollment is running ahead of expectations, and stronger quality CMS star ratings could lift Medicare Advantage ...

PatientRightsAdvocate.org has filed a lawsuit against the American Medical Association over medical code copyright and the payment to access the codes. PRA argues that patients, health plans and ...

The company is focusing on employer coverage and specialty pharmacy as it prepares to roll out a rebate-free pharmacy benefit ...

AMA says it wants Republicans and Democrats to unite on an end-of-year legislative package that makes "real progress toward ...

Among all the reasons for rising health insurance premiums, this one might be the most obscure: A long-term care insurer in Pennsylvania just went belly-up. Health insurers across the country are on ...

Health plans may pursue screenings members already received when clinical records remain trapped in separate workflows, says ...

The companies say more than 70% of September transactions required no additional information from practice staff.

Achieving EMRAM Stage 7 is another step toward Shuang Ho Hospital's goal of using integrated data and AI to support clinical ...

The FTC issued similar warnings to 21 companies in December 2024, flagging misleading claims about health plan benefits, ...

CVS Health, which acquired Aetna in 2018, is separating the insurer from its pharmacy business, CEO and Chairman David Joyner announced during the company's third-quarter earnings call on Wednesday.