This article examines the PBM-related provisions in the 2026 Consolidated Appropriations Act in the context of other federal and state efforts to regulate PBMs, then offers recommendations on ...

Last summer, the Trump administration announced a voluntary pledge by health insurers to reform prior authorization, but patient advocates and medical providers remain skeptical.

Add Yahoo as a preferred source to see more of our stories on Google. BOSTON (SHNS) – State insurance regulators unveiled sweeping prior authorization reforms that would scrap pre-approval ...

While no single school district in New Jersey is large enough to counter the insurance industry on its own, all districts ...

HHS proposed three new rules today related to the Patient Protection and Affordable Care Act, and the rules involved several major portions of the law, including essential health benefits, health ...

In a series of pieces, John Rusche and Mark Sherry will explore the American health care system, other systems used elsewhere and changes that could really change the cost and quality of American ...

BOSTON — Massachusetts health insurers will be required to streamline, and in some cases scrap altogether, pre-approval for many routine medical procedures and medications under proposed new state ...

It’s an imperfect solution, but Republicans likely need to do a temporary extension of Obamacare subsidies while they get fixes up and running. This week, the House passed a bill full of vital ...

When I was North Dakota's insurance commissioner in the late 1980s, I was concerned about the rapid increases in the cost of health insurance reflecting medical costs that rise year after year faster ...

State Sen. Angus McKelvey, D, who represents West and South Maui, outlines new bills on Lahaina recoverym insurance reform, ...

BOSTON (SHNS) – State insurance regulators unveiled sweeping prior authorization reforms that would scrap pre-approval requirements for “many routine and essential” health care services, Gov. Maura ...