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

This year, 389 healthcare institutions in the U.S. were attacked with ransomware, which caused network shutdowns, offline ...

Centene has joined the list of insurers that are suing the Centers for Medicare and Medicaid Services over the 2025 Medicare Advantage Star Ratings. Centene of Missouri and 10 affiliated plans such as ...

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 ...

Healthcare does not need a profit-driven approach to patient outcomes, but it does need private equity, says Vin Phan of ...

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

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

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

Baxter wasn't the only facility impacted. One manufacturer, B. Braun, has a manufacturing facility in Daytona, Florida, and ...

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