Prior authorization varies by plan but often requires patients or their providers to get permission (also called ...

Higher than expected insurance utilizations across UnitedHealth can weigh down on gross margins. Click here to read why UNH ...

Major companies had faced mounting pressure to stop denying or stalling authorization of coverage for treatments and ...

Increasingly, payers are using AI and data analytics for member interactions and for provider networks based on outcomes and ...

From hospital systems to private equity, eight healthcare leaders joined Becker’s to discuss who they believe is the most disruptive force in physician consolidation today. Editor’s note: These ...

A massive hack of the insurance giant set off a chain of events that has left some doctors’ practices on financial life ...

From UNC Health suing Aetna and Humana to Purdue Pharma reaching a settlement over its role in the opioid epidemic, here are 10 healthcare industry lawsuits, settlements and legal developments that ...

In 2024, pharmacies dispensed an estimated $265 billion in specialty medications — an 8% increase from the year prior, according to Drug Channels. Compared to 2023, BrightSpring Health Services ...

UnitedHealth's diversified model, robust financials, and undervaluation signal a 24% upside. Click to read more on why I ...

PROVIDENCE – Rhode Island private health insurers have submitted rate requests to the Office of the Health Insurance ...

Private practice, once the gold standard of physician autonomy and patient-centered care, is on the decline. Here’s what 15 leaders have to say about the private practice exodus: Adam Bruggeman, MD.