Pending litigation will decide whether or not Oklahoma has a right to regulate pharmacy benefit managers despite existing federal law.

IBM has incrementally sold off parts of its Watson Health enterprise, illustrating the complexity of applying budding technology to the highly regulated healthcare industry.

Providers are encouraged to use electronic prior authorization, but uptake still lags.

Some payers provide direct coverage for at-home COVID-19 tests, others require members to submit claims for reimbursement, according to an analysis.

Henry Ford Health System's integrated insurer Health Alliance Plan is offering buyouts to employees 55 years and older.

IBM announced Friday that Francisco Partners will acquire its healthcare data and analytics assets, currently part of Watson Health.

More than 40 organizations will split $103 million, and a new technical assistance center will share best practices.

Three studies released Friday offered more evidence that COVID-19 vaccines are standing up to the omicron variant, at least among people who received booster shots.

Congress passed the No Surprises Act last year to protect patients from surprise medical bills. Unfortunately, insurance companies are already exploiting the way the Biden administration is implementing the law.

The omicron surge this winter has not only swamped U.S. hospitals with record numbers of patients with COVID-19, it has also caused frightening moments and major headaches for people trying to get treatment for other ailments.

Two state health officials said advance notice of the public health emergency's end could help ease coverage renewals.

In the past week, the Biden administration launched two programs that aim to get rapid COVID tests into the hands of every American. But the design of both efforts disadvantages people who already face the greatest barriers to testing.

Many hospitals and clinics are still infusing the costly treatments—often charging hundreds of dollars a session—that public health officials now say are almost certainly useless.

The doctors claim HCA Healthcare is monopolizing the market by forming partnerships with and purchasing competing surgical centers.

Clinicians should work to better articulate patient medical barriers rather than relying on common negative descriptors in patient EHRs, a report concluded, leading providers to wonder how to combat it.

Florida is among roughly a dozen states that CMS determined can use their own billing resolution rules in lieu of those under the federal No Surprises Act.

The company's clinic expansion is funded in part through a three-year, $600 million private equity deal.

Video shorts from workers let healthcare providers describe watching two years of suffering and death, much of which, they say, was preventable.