Groups representing insurers are pushing back on proposed tighter regulations on Medicare Advantage coding. Senate Republicans are considering targeted changes to Medicare Advantage as part of the ...

Walgreens is asking a judge to overturn an arbitrator's $642 million award to Humana in a drug-pricing dispute between the companies. More than 50 health advocacy groups and other organizations are ...

Vermont Gov. Phil Scott has signed legislation that grants the Green Mountain Care Board new powers to manage the financial health of hospitals and insurers in the state. The GMCB, an independent ...

Seven payers have been included in Points of Light’s 13th annual “Civic 50 honorees,” a national standard for corporate citizenship and how companies use their time, skills and resources to drive ...

Arizona Gov. Katie Hobbs recently signed a bill into law that requires a licensed medical professional to have the final say in claims denials and prior authorization decisions. The new law prohibits ...

Gainesville-based Northeast Georgia Health System went out of network with UnitedHealthcare's employer-sponsored and individual plans after the two sides were unable to reach a new contract, ...

Nearly 90 prior authorization reform bills have been introduced in 30 state legislatures this year, according to the American Medical Association. Preliminary results show Centene shareholders ...

OneCare Vermont has named Abe Berman interim CEO, replacing Vicki Loner, who is stepping down at the end of May. From the promotion of two senior executives, to reporting double-digit growth in net ...

Austin, Texas-based Agilon Health has begun implementing a long-term partnership with MaineHealth to improve primary care services. Medical liability premiums have increased nationwide for a third ...