Health systems are suing insurers over what they describe as systematic underpayment and unilateral policy changes that reduce reimbursement, while insurers have been turning to the courts to accuse ...

More data is pointing to concerns of skyrocketing healthcare costs in the upcoming years. Steeper medical utilization is one cause for concern, according to several sources. Meanwhile, HR 1 is ...

Jefferson Health is alleging Independence Blue Cross used a string of reimbursement policy changes this year to cut what it pays the health system by an amount approaching $100 million in a new ...

A newly proposed federal bill would create a government-run public health insurance option sold on the ACA exchanges and permanently extend the enhanced premium subsidies that lapsed at the end of ...

Charleston, S.C.-based MUSC Health and Cigna have extended their current contract through Aug. 31 as they continue negotiations on a new agreement. The health system shared the update June 24. MUSC ...

Commercial health plans are facing the steepest single-year cost increase in 17 years, with the group market trend projected to reach 9% in 2027, according to PwC’s annual medical cost trend report ...

The average American covered by an employer health plan is projected to spend $8,460 on healthcare this year, up from $7,838 in 2025, according to Milliman’s 2026 Medical Index released May 20. The ...

CVS Health secured court approval to sell its long-term care pharmacy business, Omnicare, according to a May 13 news release and bankruptcy court filings. GenieRx, a partnership between a private ...

Elevance Health has named 45 primary care practices and health systems to its annual Care Provider Recognition Program, recognizing the top 1% of primary care providers for excellence in delivering ...

Cigna Healthcare offers the best digital experience to commercial members, while UPMC Health Plan provides the best experience to Medicare Advantage enrollees, according to JD Power’s 2026 U.S.

Insurers have eliminated 11% of prior authorization requirements across a range of medical services since June, representing 6.5 million fewer prior authorizations for members, according to an ...

The Blue Cross Blue Shield Association submitted a wide-ranging letter to CMS on March 30 in response to the agency’s information request on its Comprehensive Regulations to Uncover Suspicious ...