To prepare for CMS’ new risk adjustment data validation (RADV) strategy, Medicare Advantage plans must take a coordinated, ...

The financial balancing act between providers, government programs and commercial insurers, according to Christoph Dankert, ...

Employers are key to transforming healthcare by creating competitive, cost-effective networks independent of federal policy ...

Health plans must embrace real-time member awareness, timely clinical context and actionable insights to realize the benefits ...

Optum Rx officials said they now have eliminated reauthorization requirements for more than 140 chronic disease medications.

Patients addicted to opioids receive less mental health care if they are only covered by public insurance, compared with patients receiving care through alternate funding, according to a recent study ...

Perry Cohen, Pharm.D., a longtime member of the Managed Healthcare Executive editorial advisory board, is host of the ...

Managed Healthcare Executive gives C-suite executives in health plans and provider organizations news and strategies for ...

A panelist discusses how the historical standard of care for metastatic squamous cell anal carcinoma evolved from ...

Uninsured or self-pay obesity patients can get any dose of Wegovy for $299 from July 1–31, 2025. Patients can get their ...

A panelist discusses how squamous cell cancer of the anal canal has nearly doubled in incidence over 30 years, with human ...

A new study finds that enrollees who had difficulty accessing care in Medicare Advantage plans were more likely to switch to ...