Prior authorizations are the way MA managed care plans pre-approve some procedures before they’ll pay for them.

The more complex and labor-intensive esoteric tests are reimbursed at a higher rate and often outsourced by hospitals to independent labs. Labcorp is funneling resources to broaden its menu of complex ...

Medicare beneficiaries often pay monthly premiums, copays, annual deductibles and prescription drug costs. But what you may ...

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

In the past few years, new plans with extended health care benefits have been developed, assisting baby boomers with ...

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 ...

Once you've selected a new Medicare Advantage plan, it will take effect in the month following your request to change. For ...

Some providers are worried about the lack of access for Medicare patients and say it’s likely to get worse as Alaska’s ...

As a result, since 2020, Medicare has cut physician pay each year, despite rising costs for physicians to run their practices. Congress has introduced special legislation four times since 2020 to try ...

Worried about skyrocketing prescription drug costs? Medicare's new spending cap is bringing welcome relief to seniors, with ...

It’s a natural life progression. As we go up in age, our medicine cabinets tend to grow with us.“If I didn’t have this pill organizer, I would be lost,” said 78 ...