The rule forces employer health plans and insurance companies to post in-network and out-of-network rates they negotiate with providers. It also requires insurers to develop online price transparency tools to give patients cost-sharing information.

CMS said Medicare will cover COVID-19 vaccines approved by the Food and Drug Administration at no cost to beneficiaries. The rule also boosts provider payments.

Areas of Tennessee where masks aren't required in public are seeing sharper inpatient increases in recent weeks due to COVID-19, even as hospitalizations grow across the state, according to a new report.

Anthem, a Blue Cross and Blue Shield plan that operates in 14 states, recorded the $594 million charge in the third quarter of 2020, though the settlement still must be approved by a federal court.

Aetna was found not to have implemented appropriate procedures to limit health data disclosure or have appropriate safeguards.

Live updates from Modern Healthcare on the coronavirus outbreak and how COVID-19 is affecting the healthcare industry.

Among clinicians, there’s a reluctance to raise the issue of cost in any way and run afoul of federal laws. Emergency rooms must at least stabilize everyone, regardless of their ability to pay, under a federal law.

Federal agencies warned that cybercriminals are unleashing a wave of data-scrambling extortion attempts against the U.S. healthcare system designed to lock up hospital information systems, which could hurt patient care just as nationwide cases of COVID-19 are spiking.

A greater share of hospitals' and nursing homes' political contributions have gone to Democrats in 2020 than in prior election cycles.

Sen. Chuck Schumer's strong ties to hospitals in his home state are well-known in the Capitol, and New York hospitals have spent big to flip the Senate.

Providers argue the Trump administration's plan to lower insulin and Epi-Pen costs for community health center patients is unnecessary and could do more harm than good. It could also be difficult to put into practice.

With COVID-19 cases on the rise in Michigan and flu season approaching, healthcare executives said in a news conference that demand for clean laundry has become even more important.

The partnership has the Baylor Scott & White Quality Alliance and Catalyst Health Network working together to influence services and costs by employers and insurers in north Texas.

Physicians and researchers will work together to try to develop an artificial-intelligence algorithm capable of segmenting healthy tissue and organs from nearby tumors for patients with head and neck cancers.

Teladoc Health posted $288.8 million in revenue for 2020's third quarter as it prepares for a pending $18.5 billion merger with Livongo.

Encompass Health reported a 1% increase in net operating revenue during the third quarter.

If he won, Biden would encounter the limits of federal powers when it comes to mask requirements and is sure to face resistance from Republicans who may buck additional spending.

The financial commitment is for a three-year pilot program that will pay doctors more for achieving certain metrics. In another pilot program, the insurer aims to increase racial and ethnic diversity among doctors.

The presidential race will likely be top of mind for voters this fall, but the November election will also decide legislative agendas for healthcare reform in Congress and in the states.

Value-based care is widely considered the solution to rising healthcare costs—moving away from fee-for-service by aligning financial incentives to produce higher quality and better results. But important policy adjustments are necessary to finally make this transition.

Scientists agree that the ideal vaccine would provide "sterilizing immunity" — which means preventing not only disease symptoms but any infection with the virus.

The results of Modern Healthcare's annual survey rank the nation's 17 largest patient-satisfaction measurement firms by total number of clients in 2019.

The combined health system would include 70 hospitals and approximately 89,000 employees, making it the seventh-largest not-for-profit health system by revenue.

Eli Lilly continues to back a potential COVID-19 treatment despite research showing that it may not work on hospitalized patients.

A new rule would allow Medicare beneficiaries to take more drugs through home infusion and simplify coverage, payment and coding for new equipment, devices and supplies.

"We can't ignore what is happening around us, because without action, this could look worse than anything we saw in the spring," Illinois Gov. J.B. Pritzker said, referring to the start of the pandemic, when healthcare resources were pushed to the limit because of the overwhelming number of COVID-19 cases.

Intuitive Surgical's parent company has opened a $100 million venture-capital fund to invest in early-stage startups working on precision diagnostics, digital tools and other technologies that support minimally invasive surgical care.