The CEO of a laboratory company acquitted in a $1.4 billion fraud scheme is suing six payers, alleging they made false allegations to regulators and prosecutors to avoid paying millions in legitimate claims.
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Elevance Health beat investor expectations in its latest earnings report and is adding new food-as-medicine initiatives.
The neighborhood an individual lives in can affect their healthcare utilization, especially in the Medicare population, according to a study in the American Journal of Managed Care.
Some healthcare industry leaders are pushing to make California's largest-ever investment in Medi-Cal permanent, KFF Health News reported July 21.
From major positions at Aetna to the president of CVS Caremark, these are 12 top executives that have announced departures from CVS Health or its subsidiaries this year:
Senior care provider ChenMed said July 21 it is restructuring its C-suite and has tapped Steve Nelson to lead day-to-day operations as president.
Value-based physician platform Aledade has partnered with several of the nation's largest payers over the last year.
From the HHS Office of Inspector General raising concerns over denial rates to Health Care Service Corporation expanding its use of AI technology, here are four updates on prior authorization reported by Becker's since July 13:
As insurance premiums continue to rise nationwide, lawsuits from large, self-insured employers are being filed against health insurers in an effort to access complete medical claims data and fulfill fiduciary duties under federal law.
Audits from HHS' Office of Inspector General published in the first half of 2023 found over $56 million in estimated overpayments to Medicare Advantage providers.