Open enrollment season lasts until March 31 for people enrolled in Medicare Advantage who want to switch to original Medicare, but there’s a potential hitch.

Prior authorization, a process that requires physicians to obtain approval from health care insurers before certain treatments are covered, may keep patients from filling prescriptions for two ...

Aetna, the insurance segment of CVS Health, has agreed to pay the federal government $117.7 million to settle allegations it submitted or failed to withdraw inaccurate and untruthful diagnosis codes ...

Japan’s largest life insurers are continuing plans to increase private credit investment in the fiscal year beginning April amid recent warning signals about the health of the sector, according to a ...

Fix Prior Authorization. In traditional Medicare, there is virtually no prior authorization, the equivalent of an insurer’s permission slip, to provide medical services. Instead, doctors are simply ...

A family has been hit with a shock 23 per cent hike to their private health insurance premium.

Medicare is the most remarkable advancement in medical-care reimbursement in American history.

ANN ARBOR, MI - Negotiations between Michigan Medicine and Blue Cross Blue Shield of Michigan have reached an impasse. Despite a high-level Blue Cross representative telling MLive that Michigan ...

It’s not a secret that commercial payers are navigating an earnings slump. | CEO Saum Sutaria, M.D., acknowledged commercial insurers' financial pressures and tactics shift but said widespread ...

The AHA March 11 released the latest edition of its annual Costs of Caring report, highlighting how hospitals and health systems continue to face increases in the costs of people, supplies, medicines ...

UCare’s Medicaid payouts more than doubled in just three years, leading to record losses, the insurer’s demise and a trail of ...

Prior authorization, a process that requires physicians to obtain approval from health care insurers before certain treatments are covered, may keep patients from filling prescriptions for two ...