A federal jury decided Tuesday that insurer Blue Shield of California underpaid a California hospital system for emergency medical services provided to Blue Shield's members.
Alex Azar blasted the insurer practice of having a patient start over on step therapy if they switch insurance plans, as HHS aims to apply step therapy to Medicare Part B and D.
While Republican lawmakers insist trimming Medicare and Medicaid is the only way to rein in federal spending, researchers have found the programs have done a better job at controlling spending than private payers.
Pennsylvania's attorney general has picked a side in the long-running battle between UPMC and Highmark Health. He's trying to force UPMC to fairly negotiate with Highmark and other health plans.
Louisville, Ky.-based health insurer Humana recorded higher revenue in the fourth quarter of 2018, as it brought in more premium revenue from Medicare Advantage plans.
Commercial and Medicare Advantage plans pay mental health providers in their networks significantly lower rates than traditional Medicare pays, which likely reduces access for patients.
WellCare Health Plans CEO Ken Burdick called 2018 a "very good year" for the insurer. That's thanks in part to its $2.5 billion acquisition of Meridian Health Plan and related 44% increase in Medicaid customers.
Centene Corp.'s Affordable Care Act exchange membership reached nearly 1.5 million last year, helping boost the health insurer's revenue during the fourth-quarter and full-year 2018.
Four insurers scored contracts to serve North Carolina Medicaid beneficiaries under the state's new managed-care program launching in November.
Colorado hospitals could have passed on savings to consumers of as much as $11.5 billion over a nine-year period if they had better contained costs and lowered their margins, according to a new state report.
State regulators say they don't have the legal authority or the staff to regulate the marketing of short-term insurance plans, a new study finds.
CVS Health and Walmart said they have resolved a contract dispute and inked a new multiyear contract that allows certain CVS pharmacy benefit management customers to continue filling prescriptions at Walmart drugstores.