Medicare director Chris Klomp said the Trump administration is “massively” in support of MA as health insurers cry foul over ...

The healthcare behemoth posted its lowest profits since 2018 last year, largely thanks to continued Medicare Advantage ...

The proposal would eliminate the financial motivation insurers have to mine their members’ charts for additional diagnoses.

Inaccurate billing or outdated payment systems take time and attention away from what matters most—patient care. In contrast, ...

More than 40% of respondents said they were aware of colleagues using AI tools that haven’t been approved by their ...

Even as overall employer-based coverage increased in the U.S., small companies pulled back.

CEO Dave Rosa said a strong rollout for the da Vinci 5 surgical robot in 2025 exceeded expectations, with the system driving ...

The agency released new data on independent dispute resolution in the first half of 2025. Roughly 1.2 million cases were ...

Epic alleges Health Gorilla and its clients retrieved nearly 300,000 patient records for financial gain. Health Gorilla ...

The company’s massive pharmacy benefit manager changed its rules and weaponized audits to ensure independent pharmacies ...

The chief executives of UnitedHealth, CVS, Cigna and Elevance were pilloried for care denials, vertical consolidation and sky ...