UnitedHealth Group’s massive health insurance business will drop some Medicare Advantage health plans covering more than 600,000 people as it tries to reverse its financial declines. The company’s ...

Michigan's Collaborative for Type 2 Diabetes (MCT2D), a statewide population health collaborative quality initiative, analyzed nearly 1,000 physician-submitted patient case summaries and needs ...

UnitedHealth's newly returned CEO, Stephen Hemsley, will likely face investor scrutiny over the largest U.S. health insurance ...

The Pharmacy Benefit Manager (PBM) Transparency Act bans spread pricing, incentivizes PBMs to pass 100% of the rebates they ...

A new survey reveals widespread consumer frustration with prior authorization, highlighting the need for urgent reform in ...

Humana is taking a second bite at the apple to improve its sunken MA stars, filing an edited complaint with a Texas court on ...

These changes apply to policies issued, reissued or altered on or after Dec. 31, 2026. So far, close to half of all U.S. states and the District of Columbia have passed prior authorization reform ...

The Centers for Medicare and Medicaid Services will be implementing prior authorization requirements for certain traditional fee-for-service Medicare services in six states, including Oklahoma ...

The Centers for Medicare and Medicaid Services will be implementing prior authorization requirements for certain traditional fee-for-service Medicare services in six states, including Oklahoma, sta… ...

The Centers for Medicare and Medicaid Services (CMS) will implement prior authorization requirements for certain traditional fee-for-service Medicare services in six states starting next year.

Legislative observers, state lawmakers and lobbyists say that the failure to pass comprehensive prior authorization changes in Nevada stemmed from a combination of political maneuvering, tight ...