Key Takeaways CMS’ action signals a broader federal focus on using provider enrollment moratoria to address perceived fraud risks. Providers operating in the affected categories should anticipate ...

Nearly 23 million Americans get health insurance through one of the online “exchanges” (also called “marketplaces”) that ...

UnitedHealth CEO tells Congress that hospital prices, drug costs, and consolidation—not insurers—are driving U.S. health care ...

Medicare Advantage has become the default choice for millions of retirees, yet some of the country's most influential money ...

Medicare may no longer cover telehealth services after Jan. 30, the deadline for the most recent extension of congressional appropriations. The loss of coverage would prevent over 1.3 million ...

A group of lawmakers led by state Rep. Carrie Sorensen wants New Hampshire to become the third U.S. state to cover the cost ...

President Donald Trump recently announced his new "Great Healthcare Plan" which he says will lower the cost of prescription ...

A new AI tool is being tested in Oklahoma to process prior authorizations in Medicare. These Oklahomans say they're worried.

The Trump administration announced a new demonstration program aimed at easing access to GLP-1 receptor agonists for enrollees in Medicare Part D and Medicaid plans, but experts say it's unclear how ...

A six-state pilot program will target 'wasteful care' under Medicare Medicare programs in six states will face prior authorizations under a new pilot program. Traditional Medicare in six states will ...

A federal judge in California this week allowed officials to share some Medicaid information — including addresses and phone numbers — with Immigration and Customs Enforcement to help that agency in ...

Traditional Medicare in six states will soon feel more like privatized Medicare Advantage, using prior authorizations to determine what care can be covered for older adults. Starting in January, about ...