Elon Musk's Department of Government Efficiency is quickly expanding its reach through the federal government.It recently ...

We now have a glimpse behind the curtain of how Medicare arrives at so-called maximum fair prices of prescription drugs it ...

Trump could either weaken the negotiations in a way that benefits the pharmaceutical industry, or try to achieve even deeper savings to outdo his predecessor.

Since expenditures are heavily skewed, the top 5 percent of patients by cost contribute a disproportionate amount to the mean ...

The Inflation Reduction Act (IRA), passed in 2022, made changes to the way drugs are covered and reimbursed in Medicare.

Prior authorizations are the way MA managed care plans pre-approve some procedures before they’ll pay for them.

Medicare Advantage plans are popular, but some have limited provider networks, while and others require high cost sharing for ...

The country’s health care system could be in for major changes under the Trump administration. And that could mean a ...

The difficulty that stakeholders face in comparing contracts with different structures could be solved by a standardized ...

IUDs are small devices implanted in the uterus to prevent pregnancy. Finding a doctor to insert an IUD can be difficult and ...