The health insurance industry counters that prior authorization and other forms of utilization management ... The Centers for Medicare and Medicaid Services instituted a rule in January that ...

Prior authorization, a process requiring healthcare providers to obtain approval from insurance plans before certain medications, medical services, or procedures can be administered, is a significant ...

Community Hospital Corp. President and CEO Jim Kendrick says Medicaid reimbursement reductions could cripple rural ...

Beneficiaries’ initial enrollment choices, whether active or passive, tend to have long-lasting implications because ...

Healthcare has seen a slew of proposed policy changes at the federal level in recent months. Here are the 10 most important federal policy updates for ASC leaders and physicians to know since May 1: 1 ...

House passes GOP tax and spending cuts package, targeting Medicaid, food stamps, and tax breaks. Senate changes expected.

Hogan Lovells and the AI Health Care Coalition recently hosted their fourth annual AI Health Law & Policy Summit, where thought leaders ...

There is a lot of macro "noise" in the market right now, as one Wall Street analyst called it, with higher tariffs, changes ...

“Your employer hires your insurance company, and so your employer should say to the insurance company, ‘We're going to hold ...

The state’ s Division of Insurance issued a regulatory bulletin on Thursday requiring private health insurance companies to limit the growth of deductibles and copays for patients to the rate of ...

Navigating mental health and substance use treatment can be overwhelming, especially when trying to understand how insurance coverage fits into the picture. If you or a loved one is dealing with both ...