Many enrollees in marketplace plans say they already struggle to pay out-of-pocket medical costs.

State leaders in November approached Prime Healthcare Foundation to propose its purchase of two Prospect Medical Holdings hospitals.

An equal number of health system executives say AI's greatest potential is either in reducing administrative burden or improving clinical efficiency.

Blue states and red states are taking different approaches to assist consumers confronting big health insurance exchange premium hikes.

Senate Minority Leader Chuck Schumer (D-N.Y.) proposed a three-year extension of enhanced subsidies for health insurance exchange plans.

Mark Cuban said he was talking to Humana about “putting together direct-to-employer programs” that would bypass traditional layers in the drug supply chain.

Top pharmacy benefit managers CVS Caremark, Optum Rx and Express Scripts have rolled out new models that mirror what smaller rivals offer.

The Medicare reimbursement cut is smaller than the Centers for Medicare and Medicaid Services proposed in June.

Health insurance company mergers and acquisitions rose 43% in the third quarter.

Medicare Advantage insurers beset by falling quality scores may get some relief from a new regulation, but top star ratings would still be hard to earn.

Blue Cross Michigan is hiking premiums on its ACA marketplace plans by 24% or 23.3%, depending on plan type — the largest ACA increase in Blues history.