| With budget reconciliation right around the corner, different slices of the healthcare industry have made their views clear on issues like physician pay, ACA subsidies, telehealth flexibilities, ...

Humana maintains a healthy balance sheet, in our opinion. Most of its cash and investments ($24 billion as of mid-2024) is held at its subsidiaries, though, and the company aims to hold about $500 ...

Opioid overdoses kill each day. But it's easier to access fentanyl in Arizona than the medications that can help keep people ...

The unwinding of the MA-VBID Model does not portend the end of the use of V-BID to improve access to high-value services for Medicare beneficiaries. Enrollees who remain in MA will likely be able to ...

Insurers also ask the Trump administration, which is engaged in a sweeping campaign to eradicate anything related to ...

17000, Non-Waiver Community First Choice Revision 25-1; Effective Feb. 7, 2025 ...

Recent proposals from Republican congressional leaders and conservative think tanks would cut Medicaid by taking coverage away from people who don’t meet unnecessary and burdensome work requirements. ...

Understanding the reasoning and process of Medicare Advantage prior authorization can help you gain faster approval for a required prior authorization.

Insurers say they help lower patient costs by helping people avoid unnecessary or inappropriate health services.

(THE CONVERSATION) Medicare Advantage – the commercial alternative to traditional Medicare – is drawing down federal health care funds, costing taxpayers an extra 22% per enrollee to the tune of US$83 ...

Quinterno said laws trying to limit the scope of prior authorizations are trying to remove patients “caught up in a byzantine authorization process.” “They often suffer in the form of wasted time, ...

House Republicans plan to reintroduce legislation that would reform how North Carolinians are affected by health insurers' prior authorization policies for treatments, medications and procedures. The ...