OIG identified systemic issues that impair Medicaid's ability to root out fraudulent activities and offered several ...

The lower MA premiums are expected to drive enrollment to 35.7 million by 2025 - about 51% of all Medicare beneficiaries.

Caremark, Express Scripts, Optum and their GPOs created a rebate system that boosted PBM profits, FTC alleges.

The Department of Health and Human Services' Administration for Strategic Preparedness and Response (ASPR) and the U.S.

Startup company Particle Health, an intelligent data platform that aggravates patient data and sends it to healthcare ...

Feinberg noted key factors driving the adoption of AI in healthcare are the maturation of use cases that drive meaningful ROI ...

Walgreens has agreed to pay $106.8 million to resolve allegations that it billed the government for prescriptions never ...

The focus will be on ensuring rural communities have access to primary care, emergency services and specialty care.

The awards, HRSA says, will expand the number of nurses and primary care physicians while increasing behavioral health ...

The analysis also finds a high prevalence of vertical integration of PBMs with health insurance companies.

Accessing the funds requires a dedication of time to register and a continuing commitment for an investment longer term, says ...

Hospitals and health systems are increasingly turning to AI to enhance their revenue cycle management (RCM) processes as ...