Susan Morse
Optum Rx forced pharmacies to grant it discretion in calculating DIR fees they had to pay, the lawsuit claims.
A merger between competitors that increases concentration and consolidates a market may substantially lessen competition, agencies say.
The Federal IDR process is used when plans and providers cannot agree on the payment amount for out-of-network items and services.
Kroger Health has partnered with Better Health Group to offer value-based primary care to seniors.
28 provider and payer organizations have made a voluntary commitment to move towards the safe, secure and trustworthy purchasing and use of AI.
HHS also released the names of the first 10 drugs under Part D selected for Medicare drug price negotiations.
Nearly 20 health systems have used Laudio's platform to implement new operational models to reduce turnover and costs.
Federal pandemic funding to the health sector was $174.6 billion in 2020, but just $2 billion in 2022, report says.
CentraCare Health has denials sitting out there for 300 days, creating administrative and financial burden, says rev cycle director.
The House passed H.R. 5378, a bill aimed at transparency in hospital pricing that also addresses PBM spread pricing.