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Almost 11 million people would become uninsured if Medicaid expansion states can’t fulfill spending obligations left by potential federal Medicaid cuts, according to a Feb. 24 analysis from the Urban ...

In 2019, Medicare spent roughly $7.7 billion on 10 common diabetes drugs, including GLP-1 medications. By 2023, that amount reached $35.8 billion, marking a 364% increase, according to a new report ...

UnitedHealth Group's board of directors authorized a $2.10 per-share cash dividend to be paid on March 18. The dividend will be paid to all shareholders of record as of the close of business on March ...

Bon Secours Mercy Health and Cigna Healthcare will be out of network across eight Virginia hospitals on April 1. Almost all of Cigna’s business with Bon Secours is through employer-sponsored plans ...

Payers are trimming their workforces and cutting jobs due to financial or operational challenges, along with contract losses. Below are workforce reduction efforts or job eliminations that were ...

The country's largest payers reported year-over-year increases in medical cost ratios. CVS Health reported the highest medical benefit ratio at 92.5%, driven by increased utilization, the unfavorable ...

Aetna and the University of Texas (Galveston) Medical Branch are back in network after a four-year split. The two sides have reached a multi-year contract agreement, according to a Feb. 20 news ...

Few buzzwords are as popular in healthcare as "value-based care." But understanding of the term is often superficial, according to Alex Ding, MD, enterprise deputy chief medical officer at Humana. The ...

Seventeen HCA hospitals in Florida are suing UnitedHealthcare for allegedly underpaying for emergency care provided to its ACA members. The hospitals claim that UnitedHealthcare consistently ...

Misaligned policies, medical necessity screening tools, and incomplete clinical data are chief contributors to rising claims denial rates. They’re a challenge that costs hospitals and health systems ...