The judgment comes in a dispute over a South Carolina policy, but is expected to have sweeping implications nationwide.

Patrick Conway, who recently became chief executive of the larger Optum health services division, will replace Dr. Amar Desai ...

Health plans have plenty of programs and benefits designed specifically to address the mounting behavioral health crisis.

The American Civil Liberties Union called the ruling “a major victory for public health.” Federal officials are exploring ...

According to the United Network for Organ Sharing (UNOS), more than 90,000 people are currently on the kidney transplant ...

The guidance should help health systems safely manage and monitor AI tools in a financially sustainable manner, which can be “a real challenge” for providers, said CHAI CEO Dr. Brian Anderson.

Dive Brief: A Medicare Advantage plan run by CVS inflated diagnoses for its members between 2018 and 2019, resulting in almost $7 million in estimated overpayments, according to a new audit by the ...

Many popular proposals to reform the PBM industry are missing the forest for the trees, drug market experts said in ...

Reducing spending on Medicaid and the food assistance program could batter state economies and lead to job cuts — including 477,000 roles in in the healthcare sector alone, according to the ...

Dive Brief: A data breach at healthcare services firm Episource exposed information from 5.4 million people, according to a report submitted earlier this month to federal regulators.; The company ...

Major insurers have agreed to six commitments that should make accessing care easier for patients while removing ...