As CMS places greater emphasis on outcomes, plans are recognizing that what happens immediately after discharge can influence ...

The rule pitched Wednesday would make it easier for group health plans regulated by ERISA to share mandatory notices with ...

Brian Manning, who previously worked at health tech companies like Bamboo Health and Zocdoc, has replaced the AI company’s co ...

Molina’s second quarter was complicated, with stability in Medicaid and outperformance in Medicare Advantage overshadowed by ...

CHS’ financial results fell below internal expectations as the hospital operator served more uninsured patients and surgery ...

Providers and payers initiated 16% more disputes in the second half of 2025 compared with the first half, according to new ...

The Trump administration is fighting to restore controversial provisions that a judge threw out last month, including shorter ...

Physician groups said the sweeping rule is a double-edged sword, given it includes an unwelcome fee cut but positive changes ...

The new proposed rule is meant to prevent states from guaranteeing providers will be refunded for their taxes, and should ...

The Senate voted along party lines Thursday to defeat Democrats’ attempt to end WISeR, which some lawmakers argue is delaying ...

Tuesday’s appeal is the latest development in Clover’s legal saga to get the CMS to recalculate its Medicare Advantage star ratings.