EXCLUSIVE — Hospitals in Florida are charging privately insured patients nearly four times what Medicare pays for the same care, the highest markup in the country, according to a new national analysis ...

On March 11, the U.S. Department of Justice and U.S. Attorney’s Office announced that Aetna, a national health insurer, has agreed to pay ...

Pennsylvania holds special Medicare enrollment period due to LVHN and United dispute ...

Some Delaware hospitals charge employee private plans more than 300% of Medicare for certain medical services.

Using nationally representative data, the authors found that for common physician-administered drugs, hospitals’ unilaterally set cash prices are frequently lower than their median—and sometimes even ...

The One Big Beautiful Bill Act (OBBBA) included important reforms to limit states’ costly use of State Directed Payments ...

Transforming healthcare underpayment detec AI in 2026 improves revenue recovery for U.S. hospitals facing $130 billion in annual losses.

Medical debt associated with increase in probability of deferred dental care, medical care, mental health care ...

Traditional fee-for-service has been predominant despite long-term conversations about value-based care. But the latter model is likely to expand and serve as a more common option alongside ...

Congress should enact legislation to require the Centers for Medicare and Medicaid Services to evaluate transitioning to a single modern procedure coding system to eliminate excess costs and lower ...