As the Trump administration prepares to roll out work requirements in Medicaid, two organizations representing Medicaid ...

Pharmacy benefit manager Prime Therapeutics is expanding its partnership with Sempre Health, a company that applies discounts at the pharmacy counter for people taking single-source drugs for chronic ...

Physicians get a 2.5% pay increase in the 2026 Medicare Physician Fee Schedule Final Rule released by the Centers for Medicare and Medicaid Services on Friday. The rule also includes provisions for ...

A new report released jointly by AHIP and the Blue Cross Blue Shield Association estimates that up to 39% of out-of-network claims submitted to the federal independent dispute resolution (IDR) process ...

Meeting budgets and deadlines may not reflect the scalability and viability of AI projects, according to HIMSS' Rob Havasy and PMI's Karla Eidem; leaders must align stakeholders, own outcomes and ...