UnitedHealthcare received at least $100 million more than it should have from the Massachusetts Medicaid program due to inflated payments stemming from fraudulent diagnoses, Campbell alleges. Pressure ...

A 65-year-old picking Medicare coverage for the first time faces a choice that shapes the next 20 years of healthcare spending. On paper, Medicare Advantage (MA) looks like the obvious winner: the ...

A new federal rule that changes the surprise billing arbitration system is triggering another wave of lobbying from insurers ...

WHEN MELANIE MILLER saw that her health insurance premium payment was set to nearly triple to $914 a month this year, she stopped shopping on the Affordable Care Act marketplace. The 59-year-old ...

Maryland’s main Medicaid office missed thousands of red flags, allowing millions of dollars in questionable payments to slip out the door for people who were dead, incarcerated, or otherwise ...

UnitedHealthcare said it planned to reduce two-thirds of its prior approval requirements for children covered by its insurance by the end of 2026.

A new Medicare Advantage advocacy organization has emerged with the backing of several major health systems, adding more provider voices to the increasingly crowded debate over the future of the ...

UnitedHealth's insurance unit said it would eliminate prior approval requirements for about two-thirds of its healthcare services for those under age, as insurers face patient and doctor complaints.

New York lawmakers have been trying to pass the New York Health Act since 1992. Public support is overwhelming. And while most lawmakers have taken a public stance in favor of the bill, in ...

UnitedHealth Group plans to stop requiring doctors to get approvals for an array of pediatric procedures, tests and services, further cutting back on a process that has long been detested by ...

UnitedHealthcare, the nation’s largest health insurer, is “removing two-thirds of authorization requirements” for health plan members under age 18 by the end of the year.