CVS Caremark, OptumRx and Express Scripts are fending off political and legal scrutiny — and upstart rivals promising more transparent drug pricing.

Fewer retailers, more industry disruptors and a growing presence of payers in primary care is on the horizon, according to Bain & Company. 

Susan Diamond capped an 18-year tenure at Humana with a three years as chief financial officer.

Cone Health is the second health system to join Risant, which plans to acquire a few more systems in the coming years.

The addition of Gentiva's home care business will increase Addus HomeCare's revenue by approximately $280 million annually, the company said.

Congress has targeted pharmacy benefit managers for more than two years, spurring millions spent to influence debates that have yet to produce a law.

Micky Tripathi, assistant secretary for technology policy at HHS, offered his predictions for the future of artificial intelligence regulation.

The funding round was led by venture capital firm General Catalyst and included former Humana CEO Bruce Broussard.

Some UnitedHealthcare and Centene Medicare Advantage plans boast higher star ratings after Centers for Medicare and Medicaid Services reconsidered their scores.

GE HealthCare has owned half of radiopharmaceuticals manufacturer Nihon Medi-Physics since 2004.

Mario Ramos will serve as chief financial officer at Chicago-based WellBe Senior Medical, which provides home-based healthcare.

The transaction grows Northwest Healthcare's network across the Tucson, Arizona, area to more than 80 care sites.

Patients are spending less time in the hospital, so providers need broader skilled nursing and long-term care networks to facilitate care transitions.