Restoring enhanced health insurance exchange subsidies would require an unlikely alliance of Republicans and Democrats, and a push from President Donald Trump.
The federal government is eyeing a plan to require Medicare Advantage Chronic Condition Special Needs Plans to be Medicaid carriers.
Sanford Health is betting that a provider-led health plan can better manage operational headwinds that have beleaguered many large insurance companies.
The center offering integrated care to older adults is among a dozen operating in Los Angeles County.
In the absence of reimbursement certainty, digital health companies that sell to health systems and insurers are focused on return on investment.
The partnership between the insurer and the post-acute management services company aims to reduce hospital readmissions.
In the absence of reimbursement certainty, digital health companies that sell to health systems and insurers are focused on return on investment.
Creating the systems to manage Medicaid work requirements is a tall order, and federal authorities have offered little guidance to states so far.
Several states are enacting laws related to prior authorization and private equity's role in healthcare.
CEOs from Ascension, UnitedHealth Group, OpenEvidence and BrightSpring Health Services are among the executives to watch in 2026.
Nominations close Wednesday for Modern Healthcare’s Leading Women awards program. The awards celebrate women from all sectors of the industry who are leading change, developing policy, driving ...
The GOP isn't about to back "Medicare for All" but it used the health insurance industry as a punching bag all year.
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