Below is a roundup of payer-centric news headlines you may have missed during the month of June 2025. | In June, Gold Coast ...

The model will leverage AI and machine learning for prior authorization of services vulnerable to fraud or inappropriate use, ...

L: On December 28, 2016 AARP sent letters to the entire Congress expressing AARP’s views on the ACA and health care reform. AARP supports the Patient Protection and Affordable Care Act (ACA) because ...

Home care providers are monitoring a new Centers for Medicare & Medicaid Services Innovation Center model that will add prior ...

Health insurance companies have pledged to improve prior authorization with 6 key reforms, according to the HHS.

Beginning next year, the CMS will launch an AI-powered prior authorization process for some services as it seeks to cut funding for what it deems medically unnecessary care. Published July 1, 2025 By ...

The Centers for Medicare & Medicaid Services (CMS) announced a new experimental model late last week to streamline some prior ...

A new study found that almost all plans in 40 states and Washington, DC covered at least one form of the opioid overdose ...

Pennsylvania’s state budget fight this year will largely be dictated by the rising cost of caring for an aging and sicker population — totaling $2.5 billion in increases to the state’s Medicaid ...

Dozens of health insurers, including those with MA plans, pledged on Monday to reduce their use of prior authorizations, sparking excitement and skepticism.

The nation’s major health insurers are promising to scale back and improve a widely despised practice that leads to care delays and complications.

The Department of Health and Human Services June 23 announced an initiative coordinated with multiple health insurance ...