Susan Morse

Adults are four times as likely, and children at least two-times more likely, to receive certain preventative care services than uninsured, according to a report by America's Health Insurance Plans.

Deal is latest example of UnitedHealth Group divisions blurring the lines of healthcare delivery.

'One truth will be available to all and ultimately to the payer as well,' says healthcare expert.

MA star ratings improvements can help plans expand their share of an increasingly saturated market.

Humana is challenged to improve the health of its Medicare Advantage population but got a boost in MA payments this week.

The number remained high even as the agency cut costs for the most cost effective and successful open enrollment to date, CMS says.

The integrated provider-payer network is expected to grow as Lumeris builds a network of physicians and hospitals outside of the BayCare system.

CMS is also increasing the percent of encounter data in risk scores, a move opposed by stakeholders.

Plaintiffs are three John Does associated with the Ohio HIV Drug Assistance Program.

VA facilities understand the needs of the population while the private healthcare system could struggle to serve veterans, says CIO of Beth Israel Deaconess Medical Center.