The agreements settle whistleblower lawsuits that the Department of Justice joined, alleging the insurer submitted false diagnosis codes to artificially inflate its payments from the Medicare Advantage program.

Six in 10 clinicians believe AI can help with decision-making, however, 55% said it is not yet ready for medical use, and for those with 16-plus years of experience, the skepticism level was even higher, says a new survey.

Aggregate stop-loss coverage is most prevalent in conjunction with individual stop-loss deductibles of $250,000 or less.

The Senate Finance Committee, which has jurisdiction over Medicare, introduced a bipartisan bill on Thursday – the latest move by Congress to rein in pharmacy benefit managers by creating independent audit efforts.

Almost 4 in 10 people who previously received a COVID-19 vaccine said they probably or definitely won't get the new shot.

Merck, AstraZeneca, Bristol Myers Squibb and Boehringer Ingelheim have signed agreements to participate in the first round of Medicare drug price negotiations, while the remaining drugmakers have until Oct. 1 to decide.

While Republican presidential candidate Nikki Haley wants to raise the retirement age of younger Americans to prevent Social Security funds from running out, more than half of them say it should be lowered, says a new survey.

Coverage of electronic consultations and electronic visits is less consistent.