It’s at least the fifth insurer to turn to the courts in a bid to hike its ratings for next year. The lawsuits make near-identical legal arguments. But CVS’ is more dramatic in its scope and alleged ...

The Trump administration proposed a rule on Friday tightening eligibility requirements for Affordable Care Act subsidies, cementing new restrictions passed in the GOP’s “Big Beautiful Bill” last year.

After a buoyant third quarter, Centene now thinks its Medicare business will break even one year ahead of schedule. Staffing ...

The U.S. uninsurance rate is increasing as upcoming Medicaid work requirements are expected to further cut coverage, according to a new report from the Commonwealth Fund. Around 11% of people in the U ...

Insurers and employers are asking the Trump administration to stop recertifying No Surprises Act arbiters until the law’s controversial dispute resolution process is reformed. The Coalition Against ...

Healthcare Dive, MedTech Dive and BioPharma Dive collaborated on this five-part series examining changes at the HHS one year after sweeping layoffs. The series explores impacts across the department ...

As a Jan. 1 deadline looms for payers to adopt new prior authorization tech, Epic’s Vice President of Value-Based Care Ryan ...

HealthSpan, the investment arm of Bon Secours, wants to take Surgery Partners private and absorb its 30-state outpatient ...

Audit screen-to-face time. Examine the ratio of time providers spend facing the computer versus the patient. Cross-reference ...

The major insurers are entering new Affordable Care Act markets as others are leaving the exchanges en masse, though in the cases of Centene and UnitedHealthcare, they paper over larger state exits.

The St. Louis-based insurer is adding onto a growing pile of lawsuits from insurers trying to get their quality scores ...