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

Stock fell 7% Tuesday as Eden Prairie-based health care giant’s new earnings projections are short of expectations.

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

Preauthorization is about to enter the lives of many seniors who have chosen traditional Medicare over MA, write former CMS ...

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 ...

Everyone’s talking about AI in healthcare — but in revenue cycle management, confusion remains about what it actually does. For RCM and finance leaders, the key question is: What makes an AI solution ...

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

A new Medicare model will soon be implemented to improve care quality and address costly inefficiencies, without changing coverage or patient choice.

( NewsNation) — UnitedHealth will drop several Medicare Advantage plans that collectively cover more than 600,000 people, ...

The Centers for Medicare & Medicaid Services (“CMS”) recently released two proposed updates to Medicare payment rules that, if implemented, could ...