UnitedHealth and Centene both pulled their outlooks this year over elevated medical spending in Medicare Advantage and the Affordable Care Act respectively. Now, cost pressures are hitting their ...

President Donald Trump passed the GOP's tax megabill into law on Friday, setting into motion $1 trillion in Medicaid cuts ...

The HHS wants to move oversight of the controversial drug discount program to the CMS, which has a more aggressive history ...

Matthew Galeotti, head of the Justice Department’s criminal division, called the operation “the beginning of a new era of ...

Experts speaking at the American Diabetes Association’s Scientific Sessions supported making continuous glucose monitors more ...

Beginning next year, the CMS will launch an AI-powered prior authorization process for some services as it seeks to cut ...

Pharmacy expenses are primarily responsible for recent increases in healthcare costs. From 2021 to 2023, the median percentage of healthcare spending on pharmacy rose from 21% to 27%, according to ...

After a marathon “vote-a-rama,” the Senate narrowly passed the legislation 51-50, with Vice President JD Vance casting the tiebreaking vote.

The stakes are too high for behavioral health analytics to remain a black box. It’s time for health plans to begin treating behavioral health with the same analytical discipline as physical ...

Dive Brief: The Supreme Court ruled on Thursday that individual Medicaid patients cannot sue to choose their health provider, allowing states to block Medicaid funding for abortion providers. The ...

Dive Brief: The Food and Drug Administration has blocked certain Olympus Medical devices from entering the U.S. because of quality system failings at a site in Japan. FDA officials issued the ...