At the Medicarians Conference, Ricardo Carcas, assistant special agent in charge of the Office of Investigations, discussed ...

One big news story from the world of Medicare Advantage recently has been the number of plans that are in retrenchment mode. For instance, UnitedHealthcare reportedly exited 109 counties for the 2026 ...

A consultant who has analyzed healthcare policy over many decades declares that MA is in the middle of a fundamental reset ...

The Department of Justice has sued both OhioHealth and NewYork-Presbyterian Hospital this year, alleging that they use ...

HeartFlow, which makes AI tools to analyze cardiac images, sued its rival Cleerly, alleging infringement on six patents. Cleerly is pushing back.

Across the country, nurse leaders are rethinking how care is delivered and what it means to lead through transformation. The past few years have shown us that traditional nursing models — which were ...

Rep. Greg Murphy (R-North Carolina) introduced the Every Dollar Counts Act on Tuesday. It would ensure out-of-pocket costs for covered prescription drugs are applied toward patients’ deductibles and ...

President Donald Trump’s 2027 budget proposes deep healthcare cuts, raising concerns about harm to patients and research.

When bladder cancer does not respond to the current standard of care therapy, the next treatment option is surgery to completely remove the bladder. CG Oncology aims to give patients another choice.

UnitedHealthcare is expanding its rural health initiatives, including exempting rural providers from most medical prior authorization requirements by the fall of 2026, it announced on Monday. The ...

Behavioral health utilization surged by 62.6% since 2018, according to a new report from Trilliant Health. To address this issue, the industry needs to expand the workforce and integrate behavioral ...

Most of what we called healthcare innovation over the last decade was an expensive lie we told ourselves. Between 2015 and 2020, we poured billions into digitizing the status quo, making existing ...