The final settlement wraps up 12 years of litigation over Blue Cross and Blue Shield plans’ alleged collusion to lower ...

DaVita, which operates more than 2,600 outpatient dialysis centers across the country, said it first discovered the cyber ...

The committee will oversee areas where UnitedHealth has struggled or faced public scrutiny: underwriting and forecasting, ...

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

Insurers plan to keep sacrificing MA growth for profitability next year, after second quarter results for Humana and CVS showed the success of the strategy.

A federal judge has ordered CVS Caremark to pay almost $290 million in damages and penalties after a whistleblower proved the ...

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.

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 ...

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

CVS hikes adjusted earnings guidance as Aetna performance improves The company raised its outlook as many insurers are struggling with elevated medical costs in the second quarter.

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

New limits to the program could force hospitals to slash capital spending while bracing for millions of newly uninsured ...