Profits will start to tick up after reaching trough levels. Washington will play nice. M&A and AI adoption will accelerate. We asked experts to look into their crystal balls on what the coming year ...

Inaccurate billing or outdated payment systems take time and attention away from what matters most—patient care.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

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

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

The for-profit hospital operator said it’s implementing a resilience plan to offset losses. Still, HCA anticipates its ...

Companies are hoping to reshore finances and double down on efficiency initiatives this year as several policy sea changes ...

Ten Medicaid systems vendors have agreed to provide low- or no-cost services to states over the next two years. The Trump ...

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

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

The rule puts limits on states levying higher taxes on Medicaid businesses. The CMS argues the tax arrangements allow states ...

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

The company’s massive pharmacy benefit manager changed its rules and weaponized audits to ensure independent pharmacies ...