Industry News

The DOJ is investigating whether UnitedHealth made its clinician employees record questionable diagnoses that make Medicare Advantage patients appear sicker than they are. This practice,

MultiPlan, which rebranded as Claritev in February 2025, processes payments for out-of-network healthcare services. On June 3, 2025, a US District judge in Chicago ruled

The Centers for Medicare and Medicaid Services Office of the Actuary has forecasted that U.S. health spending will hit $8.6 trillion by 2033. That amounts

The Inflation Reduction Act of 2022 included a drug-related provision requiring HHS to negotiate prices with drug companies for certain drugs covered under Medicare Part

Pharmaceutical spending accounts for approximately 11% of total personal health care services spending in the United States according to a 2022 study by the US

Prior authorization is a health plan cost-control process that the AMA survey research shows leads to delayed and abandoned care, negatively affecting patient outcomes. The

Health Care Service Corp. has long been a non-profit health insurance company selling Blue Cross and Blue Shield plans in five states. In March 2025,

The nationwide trend of protecting patients from the impact of medical debt continues as The State of California just passed legislation that prohibits the reporting

Following the Change Healthcare data breach, CH has recently confirmed: “Notices To Be Handled by CHC, Unless Covered Entities Opt Out. If you are a