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 ...

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 ...

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 companies will make technical improvements for self-funded plans in an expansion of the government’s 2025 Prior ...

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

Centene reported a loss of $71 million in the third quarter, compared to a loss of $6.63 billion for the same period last ...

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.