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 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 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 ...

CMS is expanding eligibility for catastrophic health coverage on the ACA marketplace in 2026. The agency issued new hardship exemption guidance on Sept. 4 aimed at individuals projected to be ...

The House Committee on Oversight and Government Reform is investigating CVS Health over reports of the company using confidential patient information to lobby against a bill under consideration by the ...

Montana has submitted an application to HHS to add work requirements and enhanced cost-sharing to its Medicaid expansion program. Under the proposal, “working-age, able-bodied adults” with incomes up ...

Massachusetts’ Division of Insurance and Department of Public Health has issued a bulletin Sept. 3 requiring insurance carriers to cover vaccines as outlined by the state, not just the CDC. “We won’t ...

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.

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.

The Justice Department’s lawsuit challenging UnitedHealth Group’s planned $3.3 billion acquisition of home health company Amedisys is headed to mediation Aug. 18, according to court records. Five ...

Massachusetts' insurance commissioner has approved the sale of Springfield-based Baystate Health's insurance subsidiary, Health New England, to Point32Health for $165 million. Highmark Health reported ...

UnitedHealthcare CEO Brian Thompson was shot and killed Dec. 4 in what appears to be "a brazen and targeted attack," according to the New York Police Department. Blue Shield of California has named ...