CMS has become more aggressive with its rollout of new payment and care delivery models. To provide healthcare leaders with an outlook for 2026, research firm ATI Advisory compiled observations from ...

Senators Elizabeth Warren, D-Mass., and Ron Wyden, D-Ore., are expanding their probe into UnitedHealth Group’s nursing home programs after the company provided what they said is an insufficient ...

A team of Stanford (Calif.) University researchers specializing in health law, AI, ethics and medicine identified “risks of supercharged flaws” in harnessing AI for prior authorization in a Jan. 6 ...

The No Surprises Act’s independent dispute resolution process continues to be a source of controversy and litigation nationally more than three years after its implementation, with insurers and ...

The United Health Foundation’s 2025 “America’s Health Rankings Annual Report,” published Jan. 8, presented a wave of optimistic health signals, but disparities persist. The organization analyzed 99 ...

If you work in the Talent or HR department at your organization, you know how important benefits plan design is for retaining and attracting talent. A recent survey found that employees who are ...

President Donald Trump said Jan. 6 that he plans to meet with 14 insurance companies “in a few days” to pressure them to lower prices for Americans. “We’re trying to solve the healthcare problem.

Anthem Blue Cross is suing 11 Prime Healthcare hospitals in California, accusing them of defrauding the insurer by “knowingly flooding” the No Surprises Act’s independent dispute resolution process ...

The Council for Affordable Quality Healthcare is transitioning away from its nonprofit structure, sharing how the country’s biggest health insurance companies are now serving as owners, according to a ...

San Antonio, Texas-based Baptist Health System has filed a lawsuit against UnitedHealthcare over alleged underpayments for emergency room services provided to patients with ACA coverage, the San ...

Wisconsin’s Medicaid program is projecting a $213.2 million shortfall through fiscal year 2027, driven largely by higher-than-expected enrollment in long-term managed care programs, according to a Jan ...

Premera Blue Cross is expanding its case management resources for cancer care, according to a Jan. 6 news release. The patient navigation program, called Premera Cancer Support, relies on a ...