Providence hospitals across California are the latest to sue Kaiser Permanente over allegations that the organization’s health plan has underpaid for emergency and post-stabilization care provided to ...

Blue Shield of California has partnered with Gemini Health to launch “Price Check My Rx,” a new tool that sends mobile alerts to prompt members to review drug prices and compare lower-cost ...

A SelectQuote shareholder has filed a proposed class action lawsuit against the insurance broker and its top executives, alleging the company misled investors about its operations and financial health ...

New Hampshire Gov. Kelly Ayotte has signed legislation banning surprise ground ambulance billing and establishing reimbursement rates insurers must pay for services. Beginning Jan. 1, 2026, ambulance ...

Aetna is rolling out a new inpatient reimbursement policy for its Medicare Advantage and Special Needs Plans, effective Nov. 15. “Our goal is simple: We want to help you get reimbursed faster for ...

Oscar Health reported a net loss of $228 million in the second quarter of 2025, compared to $56 million in net income during the same quarter last year, according to its Aug. 6 financial report.

In today’s evolving healthcare environment, connection has never been more vital. Connection – the sense of being understood and supported – is what transforms healthcare from a transaction into a ...

From 16 years to a few months, here are the CEO tenures at seven of the nation’s largest payers. 1. Cigna: David Cordani. CEO since June 2009. 2. Molina Healthcare: Joseph Zubretsky. CEO since ...

Aetna is rolling out a new inpatient reimbursement policy for its Medicare Advantage and Special Needs Plans, effective Nov. 15. “Our goal is simple: We want to help you get reimbursed faster for ...

Facing frequent no-shows, high staff turnover and resource draining, paper-based processes in patient access, Wayne HealthCare was due for a digital upgrade. Read the case study to learn how using ...

The state of the healthcare experience: 5 survey findings + 5 action steps Effective communication is not just a nice-to-have in healthcare; it’s a necessity. A recent healthcare benchmark report ...

With staffing shortages, cybersecurity risks and stringent compliance demands, navigating today’s revenue cycle processes requires a new approach to ensure both financial stability and patient ...