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 ...

Overall customer satisfaction with MA plans fell 29 points year over year, driven by a declining level of member trust in ...

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

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 ...

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 ...

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

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

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

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 ...

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.