Phillip Sanderson got the runaround when trying to get his diabetes medication approved by his insurance company in a "prior ...

Leading health plans will adopt a standardized approach for providers submitting electronic prior authorization requests for the majority of medical services, which they say will accelerate ...

A pilot program for Medicare that uses AI for prior authorizations has some patients waiting weeks longer to get medical procedures - if they receive care at all - and has providers facing costly new ...

People offered hep C care on-site at their OTP were nearly four times more likely to initiate it than those given off-site ...

Medicare Part B costs will rise in 2026. Here's what to expect, including higher prescription drug prices and payment changes ...

A deal has eluded North Carolina lawmakers on Medicaid funding since last summer. On Tuesday, their first day back in session ...

Medicaid coverage of highly effective disease-modifying therapies for MS varies widely across the U.S., with no coverage in ...

For most folks, these programs are the most valuable retirement assets. Don't make these costly mistakes.

With CMS expanding its infrastructure for pre-payment review in traditional Medicare, here are five things practice leaders ...

UnitedHealthcare will exempt some rural medical providers from most medical prior authorization requirements as part of a push to lower costs and improve care in rural areas. The health insurance ...

Can family caregivers get paid? Learn how Medicaid, VA programs, and state benefits work, who qualifies, and how to start ...

A bipartisan group of Ohio legislators wants to change the state’s Medicaid program in a way they say could save hundreds of millions of dollars each year. The plan, called Medicaid Savings Act, would ...