Anthem is starting a pharmacy benefit manager in partnership with CVS Health after cutting ties with its longtime PBM Express Scripts. Starting in 2020, when Anthem's Express Scripts contract ends, the new PBM will serve customers of Anthem-affiliated health plans and non-Anthem customers.
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Project Japan news this week …
UnitedHealth Group's third-quarter earnings soared 26% to beat Wall Street expectations as its growing Optum business segment once again helped the nation's largest health insurer.
Rep. Tom Marino will no longer be considered to lead the Office of National Drug Control Policy. His decision comes just days after news reports revealed he played a critical role in passing legislation that weakened federal authority to control opioid distribution.
Hospitals say President Donald Trump's expected declaration that the opioid epidemic is a national crisis will have little impact on their strategies to combat abuse.
Two key senators have reached a bipartisan agreement to extend funding for cost-sharing reduction payments to insurers for two years in exchange for greater state flexibility on insurance market rules. While the proposal has industry support, it's unclear whether it can clear Congress.
Richard Breon, president and CEO of Grand Rapids, Mich.-based Spectrum Health, announced Tuesday he will retire in 2019 after 17 years at the helm of the system.
The University of Illinois' new medical school in Urbana-Champaign has earned preliminary accreditation that allows it to accept applications for its first class.
Health system and hospital consolidation in 2017 will likely outpace 2016's mark and continue at the same pace through next year as systems get more creative with their partnerships, experts said.
The rulings said home health aides who don't live full time with their clients should be paid for every hour of a 24-hour shift.
The U.S. Justice Department dumped its lawsuit accusing UnitedHealth Group and affiliated health plans of exaggerating how sick its patients were to score millions of dollars in inflated Medicare Advantage payments.
Microsoft blames North Korean for WannaCry cyberattack, states sue Trump over insurance subsidies, and the flu shot depends on herd immunity.
Legal experts say 19 state attorneys general face an uphill battle to convince a federal judge that the Trump administration is legally obligated to fund cost-sharing subsidies to insurers.
The CMS has approved Kansas' waiver request to put most of its Medicaid population on managed-care plans, but the state will have to address issues that prevented the Obama administration from signing off on the plan.
Some hospitals in northeast Ohio are adding attorneys to their care teams through medical-legal partnerships, or MLPs.
Attorneys general in 19 states have filed a lawsuit against President Donald Trump over his decision to stop payments that lower health insurance deductibles and co-pays for millions of Americans with modest incomes.
Many schools are reforming their coursework to fill gaps in traditional programs and better prepare students for adapting to new technology, payment models, leadership roles and collaborative approaches to care delivery.
Johns Hopkins Hospital in Baltimore has implemented an electronic tool in its EHR that assists nurses with the triage of patients in the emergency department.
Q&A with Michael Maron: 'We've never shied away from what we thought were compelling services'
Michael Maron, CEO of Holy Name Medical Center and its 20-bed hospice facility Villa Marie Claire in Saddle River, N.J., calls his effort to change the way patients and doctors view end-of-life care a "clinical home run" but a financial train wreck.
These leadership tools from major medical schools help prepare med students for real-world practice.