The Jan. 3 snapshot, though incomplete, indicates a stabler marketplace and less coverage loss than many experts and insurers ...

Kaiser Permanente and the DOJ reached a $556 million Medicare Advantage fraud settlement, the largest of its kind.

AI-powered prior authorization in Medicare Advantage and private insurance has attracted intense criticism, legislative action by state and federal lawmakers, federal investigations and class-action ...

A Mission doctor who was sentenced last year to 10 years in federal prison for falsely diagnosing patients and defrauding ...

The U.S. spent 7.2% more on healthcare in 2024. Most of the acceleration was because of greater use and intensity of medical ...

(TNND) — Republicans have unveiled their blueprint for a second reconciliation bill, a sequel to last year's "One Big ...

HHS cancels mental health grants totaling $2 billion, ending hundreds of community-based addiction and mental health programs nationwide.

The U.S. spent $5.3 trillion on health care in 2024, an increase of 7.2 percent from the prior year, as Americans' use of ...

The insurer will cut its MA payment timelines in half for select providers in Oklahoma, Idaho, Minnesota and Missouri in an ...

Prior authorizations have long been hated by many, but insurers call them an essential tool they use to control spending.

State insurance regulators unveiled sweeping prior authorization reforms that would scrap pre-approval requirements for "many ...