Cigna's Evernorth division is rolling out a rebate-free model for its pharmacy benefit manager, Express Scripts—meaning one of the industry's "Big Three" is moving away from the oft-criticized approach.
Machinify, a healthcare data company, closed its acquisition of Performant Healthcare for around $670 million to expand its AI-powered platform to a broader range of organizations, including government programs.
The 191-hospital chain's executives limited its comments on the potential impact of Affordable Care Act policy uncertainty, instead touting solid demand and a 6.1% year-over-year jump in inpatient revenue per equivalent admission.
Open enrollment for the Affordable Care Act's marketplaces is just one week away, and premiums are set for a massive spike, federal documents show.
Championed by One Medical founder Amir Dan Rubin, the company has raised a growth round between its series B and C.
It’s time for CMS to get its priorities straight and protect the Medicare home health benefit for millions of American seniors, as well as their families and caregivers.
Public for-profit hospital system Community Health Systems set the tone for the third quarter's earnings season, reporting a 6% rise in same-store revenues and a partial recovery from Q2's volumes stumble.
The group is late to emerge on the already-cluttered scene of groups advising health systems and vendors on how to appropriately use the technology.
Amid barbs over the shutdown and broader healthcare funding cuts, a Thursday committee hearing brought bipartisan agreement that more can be done to ensure the pricey drug subsidy program remains a lifeline for safety-net hospitals, FQHCs and low-income patients.
The hub includes content from AMA and other medical associations, health systems, academic institutions, medical journals and nonprofits. Users can select tools by clinical specialty and by risk area.
Tennessee-based health system Ballad Health is suing healthcare giant UnitedHealth Group, alleging the payer routinely denies or delays care physicians deemed necessary.
Hospitals lose up to 25¢ of every dollar to inefficiencies and missed revenue. On Podnosis, Claritev’s Dr. Jigar Patel shares how data, analytics, and transparency can help health systems stop revenue leakage and protect margins.
Molina Healthcare's stock price took a nosedive Thursday after the insurer posted a third-quarter earnings miss amid cost pressures in the individual market.
As health systems look to scale AI technologies, Abridge developed a methodology to assess the ROI impact of ambient AI. Four health system customers reported notable time savings, financial outcomes and burnout reduction.
Autonomous coding seemed too risky. But with regulatory uncertainty ahead, MA Plans need technology they can defend. Here's what I learned matters most.
The affiliation approved by the nonprofits' boards would create an 18-hospital system with more than $7.5 billion in revenues—and give MultiCare an acute care foothold in Oregon.
LAS VEGAS—Founders and investors highlighted research and venture capital funding disparities in women's health at a breakfast panel.
Though it applauded the Republican-led regulator's narrowed, "case-by-case" enforcement strategy, the American Hospital Association reiterated its argument that barring high-skill, highly paid employees from noncompetes would harm healthcare employers and weaken care delivery.
Individual coverage health reimbursement arrangements hype was in the air at the 2025 HLTH conference this week. The model is gaining traction with smaller businesses, particularly firms that may have been unable to offer health coverage at all otherwise.
Real-world evidence finds that oral prophylactic HAE treatment helped reduce healthcare utilization for patients and payers.
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