Medicare is launching a new pilot program that will require prior approval for 17 health services using artificial ...

As the year comes to a close, the Trump administration seems to be going in two different directions when it comes to the use ...

Over the last 10 years, I have worked in the Medicare industry and experienced a wide range of challenges alongside my clients. From navigating the COVID-19 pandemic, to contract changes involving ...

Insurers have faced lawsuits over inaccurate listings for about a decade, but the newer lawsuits focusing on mental-health ...

Over half of beneficiaries are now on Medicare Advantage. Understand the key differences between Traditional Medicare and MA ...

Access to GLP-1 weight loss drugs could improve the long-term health and well-being for millions of Americans.

The contract between insurance giant Cigna and Tenet Healthcare Corp., is due to expire Dec. 31. Hospital CEO says insurer's use of AI is the reason.

UnitedHealth released initial findings from an independent audit, outlining reforms as it faces public scrutiny and federal ...

More than 50 major insurers have pledged to streamline prior authorization starting in 2026, but providers remain cautiously optimistic and skeptical that the changes will truly reduce burden or ...