For decades a commission of appointed experts has overseen what types of care and services are paid for by the ...

Despite these federal constraints, Alabama legislators are working to craft bills that protect citizens while remaining ...

Federal prosecutors in Chicago have charged several foreign nationals with running vast Medicare and health insurance fraud ...

Medicare Advantage is facing unprecedented challenges from a decrease in reimbursement rates and the federal government’s ...

The market now seems to realize it may have misjudged this company's future.

SoHo-based startup Alaffia Health, which uses AI to help insurers catch medical billing errors, has raised $55 million in ...

The full financial impact of the price hikes could exceed $67 million each year in two dozen markets, according to the new study published in Health Affairs.

This week on Let’s Talk New Mexico, we’ll be taking a look at threats to transgender rights in New Mexico, and we’ll be ...

A group of long-term care insurance policyholders are traveling around the state, trying to build a grassroots coalition to spur reform.

CVS Health remains well-positioned despite a sector-wide selloff after disappointing Medicare rate increases and UnitedHealth ...

The state is paying Optum, a UnitedHealth Group subsidiary, over $2 million this year to review claims for 14 programs that ...

Nearly 53 million prior authorization requests were sent to insurers in 2024, compared with nearly 50 million in the prior ...