Cigna subsidiary Evernorth Health Services will be investing heavily into Shields Health Solutions, pumping $3.5 billion into ...

Included Health uses tech infrastructure to incorporate care, plan, cost and quality data into one place that can be accessed by an app, says President Robin Glass, president of Included Health.

Accountable Care Organizations saved Medicare $2.4 billion relative to benchmarks in 2024, and most ACOs are earning ...

An Alabama-based doctor has been charged and has agreed to plead guilty in connection with a $6 million telehealth fraud scheme involving medically unnecessary durable medical equipment (DME) and ...

The No Surprises Act appears to be reducing out-of-pocket costs for consumers, with a new study from Harvard University and Mass General Brigham showing significant decreases in out-of-pocket spending ...

The House Committee on Oversight and Government Reform said last week that it’s expanding its investigation into the role of pharmacy benefit managers by seeking information about how they use foreign ...

The physician does the prescription in the background, Surescripts asks the PBM for prior auth approval and the information is pulled from the EHR, all within 30 seconds, says Matt Koehler, VP of ...

AI is more readily adopted in other industries, and there are "thousands of reasons for that," says HIMSS Chief Scientific Research Officer Anne Snowdon. The biggest is that in healthcare lives are at ...

Sycamore Partners has completed its acquisition of Walgreens Boots Alliance, the company announced Thursday. Following the closing, Walgreen and other WBA businesses will operate as private standalone ...

Racial diversity among medical school admissions declined following a 2023 Supreme Court ruling that affirmative actions were unconstitutional, finds newly published research in JAMA.

Jeff Davis, a partner in the Washington, D.C. law office of Bass, Berry & Sims, advises healthcare organizations on Medicare and Medicaid billing and reimbursement issues, with a special focus on the ...