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 ...

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 times per beneficiary, according to Kaiser.

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

Sumukha Terakanambi’s disability services waiver paid for the lift the Lakeville resident uses to get out of bed and the care that allows him to live in his family’s home. For Steve Reinardy, whose ...

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 — ...

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 ...

PROVIDENCE, R.I. (WPRI) — Rhode Island again has canceled a bidding process for a multibillion-dollar contract to run the state’s Medicaid managed care program, the latest installment in an ongoing ...

China countered President Donald Trump’sacross-the-board tariffs on Chinese products with tariffs on select U.S. imports. It ...