A substantial amount of out-of-network billing comes through mental health providers—a distinct issue from the brewing "surprise billing" discussion.

After accusing Icahn of fighting the Express Scripts deal as part of a personal agenda, Cigna scored support from Institutional Shareholders Services.

PBMs have been historically secretive about rebate profits. This week, CVS and Express Scripts shed some light on their numbers.

Much of the House Republican conference is having second thoughts about closing a doughnut hole for Medicare Part D enrollees.

With a proposed two-year threshold for upside only ACOs, CMS Administrator Seema Verma said its "time for the program to evolve."

The rule came in response to the February U.S. District Court decision that found the methodology "arbitrary and capricious."

HHS has issued guidance aimed at blocking drug companies from manipulating a loophole in Medicaid’s payment policies.

Rite Aid and grocery giant Albertsons have terminated their merger, plus more healthcare headlines.