Reed O’Connor’s ruling is a setback for smaller MA plans — and efforts to curb predatory marketing to seniors.

CMS will provide states monthly reports of beneficiaries whose citizenship or immigration status cannot be confirmed. States ...

Overall customer satisfaction with MA plans fell 29 points year over year, driven by a declining level of member trust in ...

Hospitals prepare for $149B cut to Medicaid state-directed payments New limits to the program could force hospitals to slash capital spending while bracing for millions of newly uninsured patients.

Employers surveyed by the Business Group on Health are bracing for the largest annual increase in healthcare costs in more ...

The Texas judge’s decision — which picked apart Elevance’s argument on mathematical grounds — is expected to cost Elevance ...

Shakespeare famously wrote in The Tempest, “What’s past is prologue,” to express how events of the past set the stage for developments in the present. That sentiment was clear for health insurers in ...

Hinge Health beat investor expectations on revenue in the digital musculoskeletal care company’s first public earnings results. Revenue increased 55% year over year to $139.1 million in the ...

CVS Omnicare ordered to pay $949 million in government fraud case CVS plans to appeal the judgment, which it said was unconstitutional.

Millions could lose coverage under potential GOP Medicaid policies: CBO The Congressional Budget Office expects states will replace about half of the reduced federal support with their own resources.

The settlement brings to a close litigation from pension funds that argued Cencora’s leadership ignored red flags about ...