Tara Bannow

Pittsburgh's Highmark Health made the rare disclosure on Monday that it saved $245 million in 2021 by preventing instances of fraud, waste and abuse. The health insurer said its program has saved almost $1 billion since 2017.

Tenet Healthcare leaders are considering whether it would be more beneficial to keep Conifer in-house rather than spinning it off as a separate subsidiary.

KPMG's annual outlook predicts even more healthcare and life sciences deals this year following an eventful 2021.

IBM announced Friday that Francisco Partners will acquire its healthcare data and analytics assets, currently part of Watson Health.

The inquiry concerns the company’s relationship with third-party insurance agents and advisors who help older adults pick Medicare Advantage plans.

Jim Hinton, who left Baylor Scott & White last week, will join the private equity firm as an operating partner.

A new report from SVB Leerink found that the healthcare industry underperformed the S&P 500 Index in 2021 for the third year in a row, and 2022 will bring renewed challenges.

R1's health system clients have been known to outsource employees to the revenue-cycle management company.

SCAN Group is launching a for-profit Medicare Advantage provider called Welcome Health that will provide in-home and virtual care to older adults, including members of SCAN Health Plan.

The U.S. Justice Department has since about 2016 included private equity firms as defendants in False Claims Act cases against healthcare companies. The department has received settlements in at least five such cases so far, and officials say to expect more in the future.

At Modern Healthcare’s Leadership Symposium in September, healthcare leaders indicated they’re tired of having the same conversations but seeing little movement on the industry’s cost and access problems. 

Clover Health has already almost doubled its managed lives under Medicare's new direct-contracting program, and it expects to grow that bucket by as much as 54% by the end of 2021.

One Medical, a primary-care provider for commercially insured patients, hopes to break into the booming Medicare Advantage market with the all-stock purchase of Iora Health.

Chicago-based 7wireVentures has closed on a $150 million second fund, whose strategic investors include a number of prominent health systems and health plans.

Health systems are increasingly turning to reputation management vendors to help them boost their ratings on websites like Google and Yelp.