Amazon, Google, Meta and other employers agreed to reform their prior authorization policies for their self-funded health ...

A secret shopper study found less than a quarter of calls to mental health clinicians resulted in appointments, with directory errors and unreachable providers driving so-called "ghost" networks.

The major insurers are entering new Affordable Care Act markets as others are leaving the exchanges en masse, though in the cases of Centene and UnitedHealthcare, they paper over larger state exits.

States jacked up their Medicaid rates in July, a positive development for the insurer. Elevance now thinks its Medicaid margin will be better than its prior expectation of -1.75% this year.

The health AI companies are putting to bed a legal dispute involving dueling lawsuits, claims of corporate espionage and ...

Drugmakers want a say in court to defend a rebate pilot in the 340B drug discount program that hospitals are trying to stop.

As a screening test from Grail moves closer to Food and Drug Administration approval, cancer experts share what encourages ...

The proposed changes would implement key healthcare provisions in a government funding package from February. The brunt of ...

What is now emerging is a clear shift. Health systems are moving away from decentralized purchasing toward procurement ...

AI is becoming standard across EHRs. Here are three things healthcare leaders should consider when evaluating whether it’s ...

The National Association of Benefits and Insurance Professionals alleges that the HHS violated the law by not giving the ...

It’s Zocdoc’s first acquisition in its nearly 20-year history as the online medical scheduling company works to scale. Sohar ...