Blue Cross plan accused in ‘ghost network’ class-action lawsuit
Anthem Blue Cross Blue Shield of New York’s directory of doctors is thoroughly inaccurate and forces patients to seek costly...
CVS shake-up as Karen Lynch steps down, replaced by David Joyner
It’s a tumultuous time at industry giant CVS Health, and on Friday the company revealed a shake-up at the top...
Cigna-Humana merger talks are back on: report
Cigna has brought merger talks with Humana back from the dead, according to a new report in Bloomberg. People familiar...
Evernorth, Transcarent team up for cancer care program
Evernorth has tapped Transcarent to power its Oncology Benefit Services offering, which aims to offer end-to-end support for cancer patients...
Telehealth prescribing flexibilities may be extended by 1 year
The Drug Enforcement Administration is poised to extend pandemic-era telehealth prescribing rules for a third time. The agency sent a...
How HIV prevention stays out of reach for many
This story was reported in partnership with Uncloseted Media, a nonpartisan, investigative, LGBTQ-focused news publication. Twenty-year-old Dorian McCuller sat on his...
MA Star ratings 2025—Who are the winners and losers?
Analyses of 2025 Medicare Advantage star ratings continue to pour in and not all of it bodes well for the...
Employer family premiums rose by 7% in 2024
Family premiums in employer-sponsored coverage grew by 7% in 2024, averaging $25,572, according to a new report from KFF. This...
Hospitals’ August margins stay level despite high volumes
Though their margins have largely remained level, hospitals are starting to get a handle on length of stay and per-patient...
CMS proposes risk adjustment changes, broker fraud crackdown
A proposed rule from the Centers for Medicare & Medicaid Services (CMS) released Oct. 4 would protect beneficiaries from shady...
