Following new FDA approvals for Wegovy, one in four Medicare beneficiaries with obesity may gain coverage access to the drug ...

Explore how AI supplements human expertise in managing high-cost claims to address the rising complexities in healthcare ...

CMS has finalized policies to improve access to Medicaid and the Children’s Health Insurance Program (CHIP) managed care and ...

Provider markups on specialty drugs increased 2024 commercial health insurance premiums by $13.1 billion, according to ...

Nearly one in four people who were disenrolled from Medicaid remain uninsured, citing costs as barriers to coverage, ...

UnitedHealth Group experienced a $1.4 billion net loss in the first quarter of 2024, but revenues increased by almost $8 ...

The final rule addresses crucial CHIP policies that created access barriers for kids. CMS eliminated annual and lifetime ...

States have implemented their own regulations to address pharmacy benefit manager (PBM) operations, some of which may prove ...

Health savings account (HSA) plan enrollment did not impact overall healthcare spending but reduced the use of outpatient ...