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.

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.

Transforming Claims Auditing With Automation and AI Leveraging technology to standardize claims audit processes will create unprecedented efficiencies, enabling payers to catch more errors earlier ...

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

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

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.

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

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

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

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 ...

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