For some, the transition has been relatively smooth. For others, the accumulation of many disparate costs is smothering.

It has been about a month since the last earnings report for Humana (HUM). Shares have lost about 8.5% in that time frame, underperforming the S&P 500. Will the recent negative trend continue leading ...

Aetna has agreed to pay $117.7 million to settle allegations that it submitted false or inaccurate diagnoses to juice Medicare Advantage payments. | Aetna has agreed to pay $117.7 million to settle ...

Medicare Advantage insurers leaving certain markets affected more than 1 in 10 Americans enrolled in such plans with prescription drug coverage, a KFF analysis shows.

Many FEHB, FEDVIP and Medicare Advantage plans offered by FEHB carriers include supplemental benefits that can help lower your out‑of‑pocket healthcare costs.

By Sriparna Roy and Sneha S K March 12 (Reuters) - Artificial intelligence is being deployed on both sides of the tug-of-war between U.S. healthcare systems that want to be paid more for medical ...

One of at least 24 states that gave control of institutional long-term care to private insurance companies is walking away ...

Artificial intelligence is fueling a technological arms race between US hospitals and insurers over medical billing and ...

A congressional committee found that controversial practices like adding diagnoses in Medicare Advantage triggered higher bills for America’s seniors.

Last summer, the Trump administration announced a voluntary pledge by health insurers to reform prior authorization, but patient advocates and medical providers remain skeptical.

The bipartisan group of lawmakers representing the Senate and the House is led by Rep. David Schweikert (R., Ariz.). The committee found that the average American senior’s Medicare premiums rose about ...

With their low reimbursement rates and their onerous documentation requirements, Medicare Advantage plans are unpopular with home medical equipment (HME) providers, but they’re hard to avoid, say resp ...