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

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.

Turning 65? Mario Villalpando, President of MarioCare, breaks down Medicare enrollment, penalties, and the differences ...

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

I am turning 65 on April 4, working part-time, and not eligible for my employer benefits, so I need Medicare. A friend gave me confusing information about enrolling, saying that the 7-month window is ...

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

The AHA today voiced support Feb. 5 for the Rural Hospital Support Act (S. 335), legislation that would make the ...

There are millions of Americans who rely on Medicare for health coverage. And if you're retiring this year, you may be ...

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

If you're a senior on Medicare, you're probably used to the program changing each year. Often, those changes bring higher ...

Medicare covers medically necessary surgery, including different types of back surgery. Part A can help cover the hospitalization cost, and Part B can help with the cost of physical therapy ...