CMS proposed regulatory reform of the Medicaid managed care program on Nov. 8, giving states more freedom over network-adequacy standards.

A federal judge has temporarily shut down Florida-based company Simple Health Plans after the Federal Trade Commission accused the agency of collecting more than $100 million in fraudulent insurance payments and leaving its enrollees with thousands of dollars in medical debt.

After holding control of Congress for eight years and attempting to eradicate the Affordable Care Act dozens of times, Republicans lost the majority in the House on Nov. 6 during the midterm elections. The partisan shakeup could have several impacts on the nation's healthcare agenda.

Mingle Analytics and SilverVue form Mingle Health to deliver an all-in-one platform that includes the consulting, analytics, and tools to streamline medical practices, integrate the delivery network, and improve patient outcomes.

Hundreds of millions of dollars in federal funding may be in jeopardy as a result of Arkansas' Medicaid work requirement program, according to a recent analysis from the Commonwealth Fund.

On the cusp of completing a $69 billion merger with the nation’s third-largest health insurance provider, Aetna, CVS Health reported strong earnings that beat analysts’ expectations.

Healthcare M&A isn’t expected to slow down next year, according to a survey of healthcare executives by Capital One.

CMS plans to cut $380 million in 2019 by establishing site-neutral payments to hospitals. The change, which was outlined in CMS’ Outpatient Prospective Payment System final rule on Friday, will lower out-of-pocket costs for beneficiaries but also reduce payments for hospital-owned outpatient settings.