CMS is pitching new guardrails for pharmacy benefit managers and Medicare Advantage plans under a proposed rule released Oct.

One of Michigan’s largest employers, General Motors, is switching from Blue Cross Blue Shield of Michigan to Aetna for the ...

The Minnesota Department of Human Services told Becker’s Oct. 15 that it may need to claw back funds from Medicaid providers ...

The owner of healthcare software company HealthSplash was sentenced to 19 years in prison for his role in a scheme that ...

Epic teams Amazon Mark to develop Prescription Marketplace, enabling clinicians and patients to compare drug prices within ...

A top CMS official wants provider suspensions to quadruple in the next six months as the agency puts new exclusion authority ...

CMS has reinstated a small number of enrollees who lost coverage after the agency canceled ACA policies for more than 760,000 ...

The American Hospital Association has launched a website to help hospitals and health systems prepare for electronic prior ...

AmeriHealth Caritas is growing its marketplace presence in 2027, bringing plans to two more states — Indiana and Ohio — and ...

CMS released 2027 Medicare Advantage star ratings on Oct. 8, giving more insight into the MA landscape beyond health plans’ ...

Rocky Novak is joining UnitedHealth Group as chief marketing officer, effective Oct. 29. According to an Oct. 15 statement ...

Erin Brewer is joining Blue Shield of California’s board of directors. Ms. Brewer had served as CFO of Lyft since 2023, and ...