Susan Morse

As of Jan. 1, Anthem said it would always pay for emergency room visits based on certain conditions.

BC Idaho CEO says new option brings lower-cost services to the middle-class. HHS Secretary Alex Azar advises that the department will weigh in on the contentious plan once Idaho makes its decision.

Piedmont Hospital has brought a lawsuit saying the insurer has breached their contract in not paying for some MRI and CT scans.

While nearly half of clinical trials lack the participation to succeed, the hospital is deploying artificial intelligence to identify candidates and, in so doing, protect its investment.

The best population health management program is built on data and supported by robust operations that can scale up to meet the organization's needs.

A deposition reveals former medical director never looked at patient medical records, but Aetna says correct guidelines were followed.

American Hospital Association President Rick Pollack said the organization is opposed to a $34 billion reduction in critical services.

The potential ability to lower the cost and target insured employees in a personalized, digital way better and more effectively than traditional providers and insurers has many in the sector taking notice.

Fourth quarter challenges included an increase in flu-related costs and additional expense due to the lack of cost sharing reduction payments, company says.

The agreement would avert a government shutdown if the House can agree to it, though Minority Speaker Nancy Pelosi said she will oppose it unless Republicans add protections for Dreamers.