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.

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.

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

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 ...

Don Trigg, an alum of primary care and navigation firm Apree Health and EHR vendor Cerner, will take up the role on Sept. 2.

The settlement brings to a close litigation from pension funds that argued Cencora’s leadership ignored red flags about ...

In value-based care, nothing happens without access to robust data. It powers everything from advanced analytics to ...

A federal judge has ordered CVS Caremark to pay almost $290 million in damages and penalties after a whistleblower proved the pharmacy benefit manager overcharged Medicare for prescription drugs.

The skilled nursing operator filed for bankruptcy in July, a “predictable” outcome after years of financial mismanagement ...