The American Hospital Association has urged lawmakers to strengthen oversight of Medicare Advantage plans and streamline the prior authorization process, which it described as a major barrier to ...

Inappropriate denials for prior authorization and coverage of medically necessary services are a pervasive problem among ...

UnitedHealth Group is currently undervalued due to an overblown market reaction to profitability challenges. Click here to ...

The CMS Innovation Center plans to hire a string of new employees as it plans to roll out several new payment models. The move comes four months after HHS, CMS’ parent department, cut about 5% of the ...

At her Inverness salon, Tara McVicker was midway through an appointment when a client mentioned that the tax credits she used ...

Humana has filed a new lawsuit against the U.S. government over Medicare star rating downgrades, claiming it could lose billions in bonus payments that impact premiums and benefits for its members.