The Centers for Medicare & Medicaid Services today announced the rollout of a 6-year technology-enabled prior authorization program pilot. Through the Wasteful and Inappropriate Service Reduction ...

Employers are key to transforming healthcare by creating competitive, cost-effective networks independent of federal policy ...

In fiscal 2023, the most recent year for which detailed financial information is available, Medicaid’s net cost was $894.2 ...

The largest U.S. insurers agreed Monday to streamline their often cumbersome preapproval system. Here are five takeaways.

The Centers for Medicare & Medicaid Services today announced it has identified a fraud scheme targeting Medicare providers ...

A new strategy takes a step toward creating systems that understand and address family caregivers’ needs, building on ...

Across the nation, healthcare leaders are bracing for one of the most dramatic overhauls to Medicaid in decades. For those of ...