Humana has been upgraded by Jefferies based on its diversification strategy for its Medicare Advantage offerings. The upgrade ...

The prior authorization bundles are for condition-specific procedures, Aetna said. Previously, providers had to submit two ...

Rush University Medical Center's Sam Davis Jr. talks about how the system added more than 1,700 surgeries in three years and boosted prime-time operating room use by 4% through leveraging predictive ...

Medicare payments to home health agencies in 2026 will decrease in the aggregate by an estimated 1.3%, or $220 million, ...

In a move supporting a continuation of the initiative, in September more than 140 healthcare organizations, including more ...

On Tuesday, the Department of Health and Human Services repealed a nursing home staffing mandate put in place under the Biden ...

Humana is again trying to win its lawsuit against the Centers for Medicare and Medicaid Services over its star ratings ...

Hospital groups warn the 340B rebate pilot would force safety net providers to front tens of millions of dollars for drugs ...

Humana CEO Jim Rechtin and the Cost Plus Drugs founder reportedly spoke Thursday about ways to lower the cost of drugs.

CMS announces billions in savings for Medicare when first and second rounds of negotiations go into effect in 2026 and 2027, ...

Healthcare C-suite executives feel underprepared for the future, especially when it comes to AI deployment, according to a report from the Healthcare Financial Management Association.

UnitedHealth Group is selling its last South American business Banmedica to Brazilian private equity group Patria Investments ...