Special Needs Plans are surprisingly (and highly) profitable. That's good for payers — but what about members?

Memorial Healthcare System's new $1.7 million center aims to eliminate gaps in patient navigation and care management.

Cigna Group said Monday it is not pursuing a combination with rival Humana, days after Donald Trump's reelection as U.S. president raised investor hopes that any merger would face far less antitrust ...

Longtime observers of the Massachusetts hospital industry may be forgiven if they look at the current Steward Health Care debacle and find themselves saying, "I’ve seen this movie before" — in the ...

Artificial intelligence has long been heralded as a transformative force in medicine. Yet, until recently, its potential has remained largely unfulfilled.

Cold water has been tossed on the idea that CVS Health would break up the company and sell off health or pharmacy benefits from assets that provide medical care. In his first earnings call following a ...

Rising costs and increased competition have led to a wave of hospital mergers over the past decade. Now, only five of New Hampshire's hospitals remain unaffiliated with larger healthcare organizations ...

Places like Jefferson Healthcare are in a precarious position. Rural maternity wards are almost always financial black holes, a reality that has forced several in Washington to close in recent years, ...

The 2024 HealthLeaders Workforce Decision Makers Exchange wrapped up last week in Washington D.C. after two days of insightful idea-sharing and compelling discussion about the most difficult obstacles ...

Hospital divestitures also shaped the for-profit health system’s finances, which included $5.1 billion in revenue.

Even with high costs plaguing healthcare organizations, hospital margins are trending in a positive direction. The median ...

Allegheny Health, a member of the HealthLeaders Mastermind program on AI in revenue cycle managemet and finance operations, ...