Medicare Advantage, Medicaid managed care and federally facilitated ACA Marketplace health plans deny between 12% and 18% of ...

In Pennsylvania, some families are finding that health coverage can throw an entire monthly budget off balance. For one ...

AmeriHealth Caritas, the Delaware County-based Medicaid insurer, has agreed to invest $15 million in Deon Health, a Michigan ...

I was told that before the insurer would grant coverage for the treatment my oncologist felt was best for me, I had to try ...

Commentary: Rochester providers aim to reduce healthcare costs by aligning incentives around quality and outcomes instead of ...

Then Medicare launched an 18-month pilot program that offers GLP-1 medications to some enrollees for only $50 a month. La ...

The recent lurch to the left in Democratic primaries has raised the issue of extending Medicare to all Americans. Nobel ...

Florida chef Elijah Button faces a tough situation after losing his Affordable Care Act health insurance due to a premium ...

Separately, U.S. District Judge Judith E. Levy on May 22 denied a “letter motion” filed by Biricik seeking removal of the GPS tether imposed as a condition of his pretrial release, following ...

Irdai has barred four insurers from opening new offices for six months over expense-limit breaches, signalling tougher ...

Many patients who have Blue Cross Blue Shield (BCBS) received a letter from CHI St. Vincent that reads more like a warning.

Payers say AI is not clicking the deny button on prior authorizations and provider claims, but the technology does play a key role in deciding which requests need further review.