CMS will provide states monthly reports of beneficiaries whose citizenship or immigration status cannot be confirmed. States are expected to take “appropriate actions” including limiting coverage, the ...

The new committee’s key responsibilities are areas in which UnitedHealth has struggled or faced public scrutiny: underwriting and forecasting, regulatory relationships, reputational matters and ...

Meenal Sethna will join the infusion therapy provider in October. She’ll succeed former CFO Michael Shapiro, who will continue to work in a transition role through March.

Employers surveyed by the Business Group on Health are bracing for the largest annual increase in healthcare costs in more ...

Shakespeare famously wrote in The Tempest, “What’s past is prologue,” to express how events of the past set the stage for developments in the present. That sentiment was clear for health insurers in ...

Reed O’Connor’s ruling is a setback for smaller MA plans — and efforts to curb predatory marketing to seniors.

The Texas judge’s decision — which picked apart Elevance’s argument on mathematical grounds — is expected to cost Elevance ...

Despite revenue growth, healthcare payers have faced increasing margin pressures over the past year as healthcare costs continue to climb. Introducing new efficiencies into key operations such as ...

Trump administration finalizes health IT rule on prior authorization, electronic prescribing The regulation should enable workflow automation to limit paperwork burdens on providers, regulators said.

Hinge Health beat investor expectations on revenue in the digital musculoskeletal care company’s first public earnings results. Revenue increased 55% year over year to $139.1 million in the ...

Improving health data exchange is a worthy goal, but the initiative so far includes few details on how it will work — and has plenty of barriers to overcome, experts say.