There is a good reason for health insurers to occasionally require prior authorization for medical treatment. If a doctor ...

The program is becoming more restrictive in certain areas.

D: 8 p.m. ETThe House Ways and Means Committee hearing has concluded, bringing a long day of questioning for major health ...

Relationships across the ASC ecosystem are under growing strain, but ASC leaders say payers are the clear pressure point. Five executives joined Becker’s to discuss how denials, shifting policies and ...

Explore 2025 managed care enforcement trends under the Trump administration. Learn about Department of Justice (DOJ) and ...

The Trump administration's enthusiasm for deregulation has undone long-sought rules to improve care for the aged.

"Medically necessary" is often a four-letter word for patients.

This statement highlights what hospitals, clinicians, and patients are experiencing on the ground — and why commercial ...

GoodRx reports on tracking prescription fills for flu and COVID-19 treatments, revealing seasonal trends and insurance ...

Administration comprises 25% of all healthcare costs, making it a key target for automation. Organizations are using AI to ...

The following statement highlights what hospitals, clinicians, and patients are experiencing on the ground — and why commercial insurer practices are playing a growing role in driving up costs, ...

The chief executives of UnitedHealth, CVS, Cigna and Elevance were pilloried for care denials, vertical consolidation and sky-high executive compensation during two House hearings Thursday.