Profits will start to tick up after reaching trough levels. Washington will play nice. M&A and AI adoption will accelerate.

This year should see improvements in Medicare Advantage and Affordable Care Act plans but continued pressure in Medicaid, ...

Medicare director Chris Klomp said the Trump administration is “massively” in support of MA as health insurers cry foul over ...

Still, the medications in the latest round of negotiations — which now includes Part B drugs given in doctor’s offices — draw very limited revenue from Medicare, an analyst pointed out.

Inaccurate billing or outdated payment systems take time and attention away from what matters most—patient care. In contrast, ...

More than 40% of respondents said they were aware of colleagues using AI tools that haven’t been approved by their ...

Even as overall employer-based coverage increased in the U.S., small companies pulled back.

The proposal would eliminate the financial motivation insurers have to mine their members’ charts for additional diagnoses.

CEO Dave Rosa said a strong rollout for the da Vinci 5 surgical robot in 2025 exceeded expectations, with the system driving ...

The healthcare behemoth posted its lowest profits since 2018 last year, largely thanks to continued Medicare Advantage ...

CVS Caremark TrueCost® is the industry’s first pricing model that gives insight into drug-level costs. While only ...

The agency released new data on independent dispute resolution in the first half of 2025. Roughly 1.2 million cases were ...