Explore the rising claim denial rates in healthcare, their impact on providers and patients, and how automation may improve claims management in this evolving landscape.

Centene has appointed Alan Silver as the president of Ambetter Health Solutions to enhance growth in ICHRA plans, aiming to capture a larger market in health insurance.

The 2025 Medicare Physician Fee Schedule cuts reimbursement rates, impacting healthcare providers' finances and patient access to care.

The ACC has updated Medicare reimbursement policies for CCTA exams, doubling rates for hospitals.

UnitedHealth Group is poised for record growth this year, despite challenges following the CEO's murder. Legal issues within the insurance sector are also highlighted.

In 2023, U.S. healthcare spending rose to $4.9 trillion, driven by ACA enrollment and increased medical services usage. This report highlights the significant growth in healthcare expenses and insurance enrollment.

Without an extension of premium tax credits, millions may lose their health insurance. This analysis highlights the potential healthcare crisis ahead.

This article explores how Trump’s second term might affect life insurance and annuity industries, focusing on regulatory changes and fiduciary responsibilities.

CVS confronts significant financial hurdles in 2024, primarily due to rising medical costs impacting Aetna's performance and leadership changes. Read about their strategies for recovery.

The OIG warns of inaccuracies in Medicare Advantage risk payments linked to health assessments, proposing CMS audits and stricter regulations.