Profits will start to tick up after reaching trough levels. Washington will play nice. M&A and AI adoption will accelerate.

This year should see improvements in Medicare Advantage and Affordable Care Act plans but continued pressure in Medicaid, ...

More than 40% of respondents said they were aware of colleagues using AI tools that haven’t been approved by their ...

Inaccurate billing or outdated payment systems take time and attention away from what matters most—patient care. In contrast, ...

Even as overall employer-based coverage increased in the U.S., small companies pulled back.

The proposal would eliminate the financial motivation insurers have to mine their members’ charts for additional diagnoses.

Companies are hoping to reshore finances and double down on efficiency initiatives this year as several policy sea changes ...

The chief executives of UnitedHealth, CVS, Cigna and Elevance were pilloried for care denials, vertical consolidation and sky ...

Ten Medicaid systems vendors have agreed to provide low- or no-cost services to states over the next two years. The Trump ...

The rule puts limits on states levying higher taxes on Medicaid businesses. The CMS argues the tax arrangements allow states ...

The agency released new data on independent dispute resolution in the first half of 2025. Roughly 1.2 million cases were ...