Anyone approaching Medicare eligibility may be concerned about their future out-of-pocket spending on health care. Medicare ...

San Francisco-based Purchaser Business Group on Health (PBGH), which represents more than 40 employers nationwide, and ...

Uncertainty in federal funding under President Donald Trump's administration has made a tough state budget season even more ...

A variety of different initiatives have been created and implemented across the U.S. around value-based contracting; they are ...

On November 1, 2024, the Centers for Medicare & Medicaid Services (CMS) issued the 2025 hospital outpatient prospective payment system and ...

CVS Health steered through rising costs in its insurance division to handily beat profit expectations on Wall Street. The drugstore chain and pharmacy benefits manager earned $1.64 billion, or ...

A recent OIG report found that diagnoses reported in 2022 Medicare Advantage (MA) encounter data based only on health risk ...

Dr. Theodore Iwashyna, a professor of pulmonary and critical care medicine and of health policy and management ... proposals in Project 2025, a sweeping plan to overhaul the government that ...

The Treasury payment infrastructure ... remove public health data from government websites and reshape the country’s stance on reproductive rights, gender-affirming care and diversity, equity ...

A health insurance provider network is a group of healthcare providers that have contracted with a health insurance plan (an HMO, EPO, PPO, or POS plan) to provide care at a discount and accept the ...

Here’s what to know if someone you care for has ... The treatment plan for your loved one might start with surgery to remove the breast lump (lumpectomy) or the whole breast (mastectomy), depending on ...