Representatives of Elon Musk's Department of Government Efficiency have been working at the Centers for Medicare and Medicaid ...

Insurers also ask the Trump administration, which is engaged in a sweeping campaign to eradicate anything related to ...

The cuts will mean turmoil and confusion for many beneficiaries, as well as the risk of higher premiums, fewer benefits or ...

Since expenditures are heavily skewed, the top 5 percent of patients by cost contribute a disproportionate amount to the mean ...

The massive insurer now expects to lose 550,000 Medicare Advantage members — roughly one-tenth its individual MA footprint — ...

Humana shares slid after the health insurer said it expects Medicare Advantage memberships to decline in 2025 before the market opened Tuesday.

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

Medicare is big business. It changes a little or a lot every year, and millions have strong opinions about it.

How can employers bring a halt to double-digit annual increases in health insurance costs? For more than a dozen Minnesota ...

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

President Donald Trump and congressional Republicans may no longer be pushing to wholly repeal Obamacare, but big cuts to the ...

CarolinaEast Health System has announced that CarolinaEast Physicians is currently in negotiations with UnitedHealthcare ...