CMS is pitching new guardrails for pharmacy benefit managers and Medicare Advantage plans under a proposed rule released Oct.

One of Michigan’s largest employers, General Motors, is switching from Blue Cross Blue Shield of Michigan to Aetna for the ...

CMS has reinstated a small number of enrollees who lost coverage after the agency canceled ACA policies for more than 760,000 ...

Epic teams Amazon Mark to develop Prescription Marketplace, enabling clinicians and patients to compare drug prices within ...

A top CMS official wants provider suspensions to quadruple in the next six months as the agency puts new exclusion authority ...

The owner of healthcare software company HealthSplash was sentenced to 19 years in prison for his role in a scheme that ...

The Minnesota Department of Human Services told Becker’s Oct. 15 that it may need to claw back funds from Medicaid providers ...

The American Hospital Association has launched a website to help hospitals and health systems prepare for electronic prior ...

Hospitals affiliated with Nashville, Tenn.-based HCA Healthcare have sued multiple insurers over alleged claim denials and ...

CMS released 2027 Medicare Advantage star ratings on Oct. 8, giving more insight into the MA landscape beyond health plans’ ...

Fifteen Medicare Advantage plans earned five-star ratings for 2027, down from 22 last year.  CMS released the ratings Oct. 8.

Health Care Service Corp. has cut its Medicare Advantage footprint in half less than two years after buying Cigna’s Medicare ...