For Americans navigating the pharmacy counter, the price of a prescription is often just the beginning of the story. Behind ...

The Centers for Medicare & Medicaid Services should create a centralized Medicare Advantage (MA) payment and claims portal as ...

Health insurers issue millions of prior authorization denials every year, leaving many patients stuck in a convoluted appeals ...

Prior authorizations are increasingly straining the healthcare industry, according to a survey of 1,000 practicing physicians in the U.S. The American Medical Association conducted the survey, which ...

Based on our experiences working with Medicare beneficiaries, the information people want or need to make informed decisions ...

Efforts to reform utilization management policies must prioritize clinical value, improve transparency, ensure alignment with ...

In May, the House narrowly passed the "One Big Beautiful Bill Act" — which would cut taxes and increase border and military spending, while scaling back spending on Medicaid, the joint federal ...

BOSTON, MA / ACCESS Newswire / May 29, 2025 / 1upHealth, a leader in health data interoperability, today announced the launch of its 1up Prior Authorization ... and state Medicaid agencies to ...

White House adviser David Sacks admitted over the weekend that the GOP’s tax bill will include significant cuts to Medicaid, despite claims from his boss and other MAGA loyalists that it will not.