Major insurers are gaming Medicare Advantage’s risk adjustment system to reap higher payments from the government, costing Medicare billions of dollar...

A federal vaccine panel recently remade by Health and Human Services Secretary Robert F. Kennedy Jr. will meet in September to discuss and potentially...

Dive Brief: Cigna’s health services division Evernorth has invested $3.5 billion in Shields Health Solutions as the company continues to build out its...

Dive Brief: CVS has agreed to pay Massachusetts’ Medicaid program $12.3 million to settle allegations that the company’s pharmacy benefit manager over...

Artificial intelligence-enabled medical devices with no clinical validation were more likely to be the subject of recalls, according to a study publis...

Every project manager knows the classic dilemma: the Project Management Triangle. It’s a balancing act between cost, quality, and time - and the rule...

I believe one of the reasons for only incremental growth of value-based care is the lack of access health systems have to timely, comprehensive data a...

Dive Brief: Johns Hopkins is now out of network for UnitedHealthcare members after the Baltimore-based health system and the insurer failed to reach a...

This audio is auto-generated. Please let us know if you have feedback. Next month, applications are set to open for the new $50 billion Rural Health T...

Dive Brief: Medical transportation firm ModivCare filed for bankruptcy in the the southern district of Texas last week, following a monthslong effort...