Eight states had Medicaid disenrollments surpassing 100% of projected net disenrollments, while 19 states were at 50% or less.

Improving the Patient Financial Experience Throughout the Patient Journey While many healthcare providers believe that improving the patient financial experience is a critical step for their ...

Business model is unsustainable due to a challenging reimbursement environment and escalating operating costs, company says.

The extension recognizes the disruption of the Change Healthcare cyberattack on quality reporting efforts, NCQA says.

The plan includes a Gene and Cell Services Pharmacy and Innovation Center, and four central and 300 community-based specialty ...

"We expect benefit levels, planned stability and choice for seniors to be negatively impacted by the final MA rate notice," ...

The latest Safety Grades shows the first improvement since fall 2023, but the measures are still far from pre-pandemic levels ...

Healthcare benefits medical costs, primarily due to higher-than-expected Medicare Advantage utilization, came in ...

Accountable Care Organizations are struggling to find specialists to improve value-based care, although it is a top priority Centers for Medicare and Medicaid Services. Meanwhile, ACOs face ...

The move is meant to allow CVS to enhance its digital capabilities, according to a LinkedIn post from Hella Health's CEO.

Rule requires 80% of Medicaid Home and Community Based Services payments to directly compensate workers rather than "administrative overhead." ...

Health Affairs report shows higher levels of medication adherence and a lower rate of hospitalizations and ER use.