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Aetna uses Change Healthcare as an intermediary for certain data exchanges, and many of its in-network providers use it to submit claims to Aetna, however, the insurer announced its systems have not been comprised.

With the cost of employer-sponsored health insurance increasing, the federal government has an important role to play in creating a federal public option for employers as an alternative, says the Center for American Progress.

The intricate dance between case managers, benefits consultants, and health care providers is often marred by communication disconnects, leading to fragmented patient care and costly insurance reimbursement denials.

At the 42nd annual event for investors, pharma executives and biotech innovators, the spotlight was on AI, the new GLP-1 class of weight loss drugs, non-profit hospitals and treatment for autoimmune disease.

The American Retirement Association estimates that 19 million additional workers will gain access to a workplace retirement plan through SECURE 2.0's Starter 401(k) provision alone.

The Centers for Medicare & Medicaid Services has finalized its prior authorization rule – and insurers have to provide a specific reason for denying an urgent medical service request, as well as automate the authorization process.

The former South Carolina governor, who's now vying to be president, has become well known as one of the ACA's loudest critics, and is making her views known on abortion, vaccine mandates and other health care topics.

The analysis said the consistently high levels of market concentration can be linked to consolidation of insurers through mergers and acquisition.