CVS Caremark will pay $32.1 million to the state of Oklahoma after the pharmacy benefit manager allegedly held back savings from state employee health plans, according to a Sept. 9 news release from ...

A settlement has been finalized in a decadelong lawsuit that claimed Aetna and Optum used misleading billing practices to conceal administrative fees for chiropractic and physical therapy services as ...

The California and Texas medical associations are urging Cigna to rescind a new policy they say will increase administrative burdens and create a barrier to appropriate reimbursement. Beginning Oct. 1 ...

A federal judge has approved a $2.8 billion settlement resolving antitrust claims brought by healthcare providers against the Blue Cross Blue Shield Association and its independent entities, ending ...

In today’s data-driven healthcare landscape, delivering higher quality outcomes increasingly depends on how seamlessly and securely health information flows — not just from providers to payers, but ...

Iowa will implement work requirements for its Medicaid expansion program beginning Jan. 1, 2026, Radio Iowa reported Aug. 19. Under the recently signed One Big Beautiful Bill Act, states will have to ...

Economic uncertainty and policy changes from the current administration have changed the way health plans operate over the past year. Many have found workarounds to continue efficiency and growth.

UnitedHealthcare is suing Radiology Partners and its Arizona-based affiliate, Sonoran Radiology, alleging the companies have been “abusing” the No Surprises Act’s independent dispute resolution ...

Pittsburgh-based Highmark Health reported $16.5 billion in revenue, $121 million in operating income and $329 million in net income in the first half of 2025. “Strong first half performances by AHN ...

Pittsburgh-based UPMC recorded an operating income of $111.2 million (1.3% operating margin) in the second quarter of 2025, driven in part by improved underwriting margins in the insurance division, ...

A new kind of Medicare Advantage advertisement is hitting the airwaves, one diverging from the usual scenes of seniors gleefully enjoying an outdoor activity or making a medical appointment against a ...

A federal judge has paused portions of a new ACA rule that were set to take effect on Aug. 25, which included stricter eligibility verifications and limitations on premium subsidies. “Eliminating ...