To the surprise of many patients, most of the doctors in this network don't accept their insurance plan, lawsuit alleges.

Improving the Patient Financial Experience Throughout the Patient Journey While many healthcare providers believe that improving the patient financial experience is a critical step for their ...

The layoffs come on the heels of an earnings call in which the company said it was exploring options after a star ratings hit ...

Risk-based contracts became a financial lifeline for a challenging payer mix in southern Oregon, says Chief Executive Chris ...

Medical illustrators need to take complex information and edit out what is not the physician's focus, such as an injury. AI ...

Humana has sued the Centers for Medicare and Medicaid Services over the results of the 2025 Medicare Advantage and Part D ...

CEO Gail Boudreaux says cut points are a large factor driving the decline of plans rated four stars or higher.

The end-to-end program is meant to help employees more seamlessly access and manage their GLP-1 prescriptions.

The Tukey outlier, guardrails on cut points and the end of Chevron are factors that may influence payer challenges to low ...

The Cleveland Clinic and Amazon One Medical are collaborating on primary care clinics in Northeast Ohio. Amazon One Medical said it would open its first primary care office in affiliation with the ...

Respondents say they are strongly considering not stocking the drugs because of potential low reimbursements from PBMs.

Evernorth says its Oncology Benefit Services will allow employers to provide a "streamlined" cancer care experience.