Optum Rx has added more than 60 additional drugs to a list for which it is eliminating reauthorization requirements, including products for HIV, behavioral health and hypertension.
Citing changing economic conditions, Sharp HealthCare has announced it will be cutting 315 employees from its payrolls as part of a reduction of 1.5% of its workforce.
The U.S. Department of Justice has completed its 2025 National Health Care Fraud Takedown, which resulted in criminal charges against 324 defendants for their alleged participation in various healthcare fraud schemes involving more than $14.6 billion.
The Senate version of the “Big Beautiful Bill” could come up for a vote as early as today in the House. House passage is the last hurdle before the bill reaches President Trump’s desk for his signature.
The agentic AI platform works with EHR data to provide insights in care resource management, says Philipp von Gilsa, CEO of kontakt.io.
The Centers for Medicare and Medicaid Services is notifying Medicare beneficiaries whose personal information may have been involved in a data incident affecting Medicare.gov accounts. CMS said it identified suspicious activity related to the unauthorized creation of some online beneficiary accounts using personal information obtained from unknown external sources.
Home health agencies are facing a proposed 6.4% decrease in Medicare payments in 2026, compared to 2025.
The Centers for Medicare and Medicaid Services has announced a prior authorization program pilot for original Medicare.
Data gives insights but that information works best when it can be seen by a customer service representative during a patient interaction, says Casey Williams, senior VP of patient engagement at RevSpring.
The Centers for Medicare and Medicaid Services has issued a proposed rule that would increase total payments to all end-stage renal disease (ESRD) facilities by about 1.9%, bringing the ESRD Prospective Payment System base rate to $281.06. The proposed rule also includes a proposed payment adjustment for certain non-labor costs for ESRD facilities in Alaska, […]