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 ...

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

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

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

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

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.

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

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

NHG Health empowers staff to experiment with AI tools and offers training for provider staff and clinicians to foster a culture that encourages learning and ongoing improvement, says Eric Wong, group ...

"It's likely that in 2026, for the first time in about 15 to 20 years, we're going to see the rate of uninsurance in the U.S. go up," says BRG's John Barkett.