This represents a third of the population and makes the data breach the largest one known at a HIPAA-regulated entity.

This year, 389 healthcare institutions in the U.S. were attacked with ransomware, which caused network shutdowns, offline ...

AI recommendations in coding capture 100% of what's sent out versus a manual process in which when staffers select subsets of ...

CEO Gail Boudreaux says cut points are a large factor driving the decline of plans rated four stars or higher.

Humana has sued the Centers for Medicare and Medicaid Services over the results of the 2025 Medicare Advantage and Part D ...

To the surprise of many patients, most of the doctors in this network don't accept their insurance plan, lawsuit alleges.

Centene has joined the list of insurers that are suing the Centers for Medicare and Medicaid Services over the 2025 Medicare ...

Risk-based contracts became a financial lifeline for a challenging payer mix in southern Oregon, says Chief Executive Chris ...

The layoffs come on the heels of an earnings call in which the company said it was exploring options after a star ratings hit ...

California-based Molina reported an 18% increase in revenue year-over-year, according to the earnings report. States have been reporting rate increases for Medicaid, according to a KFF report.

Total direct federal costs of covering AOMs would increase from $1.6 billion in 2026 to $7.1 billion in 2034, CBO finds.

The end-to-end program is meant to help employees more seamlessly access and manage their GLP-1 prescriptions.