A former executive is claiming that the MA insurer recorded millions of dollars as capital expenditures that should have been operating expenses, inflating its value. Alignment strongly denied the ...

ARHOME represents a small portion of Centene’s overall membership and premiums. But the exit represents how insurers are ...

We have all this data that’s available, but it’s actually not actionable because we don’t have a way to get it into clinical ...

HouseCalls has been accused of generating trumped up diagnoses to hike UnitedHealth’s Medicare reimbursement. But the review ...

Democrats are planning investigations into major healthcare topics if they win majorities in Congress this November.

Ascension beat out other offers, including from HCA and Optum, to give Williamson a financial lifeline amid serious ...

Insurers are proposing a median premium increase of 14% for 2027, according to KFF, suggesting another year of double-digit ...

Massachusetts Gov. Maura Healey signed a sweeping healthcare bill into law on Wednesday that increases oversight over for-profit healthcare investment following the collapse of Steward Health Care ...

The medical device supplier said that a threat actor accessed company systems through a social engineering attack.

McGinnis took the reins as GoodRx’s finance chief on Tuesday, according to a press release from the prescription price transparency company. The executive joins GoodRx from midsized pharmacy benefit ...

The rule, released Thursday, builds on Trump administration’s priorities, including cutting Medicare reimbursement for drugs ...

Does AI hold up in retrospective risk adjustment once real customers put it to work? KLAS Research went and asked. RAAPID was ...