Mark Shepard, a Harvard Kennedy School expert, looks at the crossroads facing the American health insurance system, a patched ...

Will your care be denied? Medicare Advantage insurers use prior authorization to manage utilization and lower costs. How to compare plans during open enrollment.

If you rely on Social Security or Medicare or Medicaid, it's time to panic. If you care about your personal data, it's also ...

Learn the difference between Original Medicare and Medicare Advantage and whether a Medigap policy is right for you.

Medicare Advantage plans are popular, but some have limited provider networks, while and others require high cost sharing for ...

Overall Medicare Advantage plans denied 6.4% of prior authorization requests in 2023. Prior authorization was needed 1.8 ...

Leaders of rural hospitals and clinics urged the Banking, Commerce and Insurance Committee to endorse North Platte Sen. Mike ...

Two senior agency veterans focused on policy and operations are working with DOGE to review the agency overseeing Medicare and Medicaid, which provide health insurance for about 1 in 4 Americans, ...

Recent proposals from Republican congressional leaders and conservative think tanks would cut Medicaid by taking coverage away from people who don’t meet unnecessary and burdensome ...

Lawmakers are preparing a bill that would cap urban hospitals’ reimbursement rates for state employees and small businesses — ...

The difficulty that stakeholders face in comparing contracts with different structures could be solved by a standardized pricing methodology across payers.

When it comes to the cost of prescription drugs, doctor’s appointments, hospitalizations, scans and blood tests, there’s a lot that could change in 2025. And there’s a lot that you might not realize ...