Trump admin to use AI for Medicare authorization denials, raising concerns about access to care and increased denials for ...

In an about-face, the administration is cracking down on so-called skin substitutes, overused treatments that cost Medicare ...

Learn about the benefits that become permanent features of Medicare in 2026 and how they have been changed or updated since ...

In 2026, the Centers for Medicaid and Medicare Services will implement a prior authorization for certain services covered ...

Medicare Advantage plans (also known as Medicare Part C) are government-approved health plans sold by private insurance ...

Funneling money to for-profit companies by rewarding them for denying health care coverage through using unproven, manipulable AI models is not the answer. The Trump Administration is bringing prior ...

HHS has secured a pledge from insurers to streamline the companies’ practice of requiring prior authorizations before ...

For Assm. Heidi Kasama (R-Las Vegas), delayed insurance approvals for health care treatment aren’t just something she hears ...

WASHINGTON D.C. – Florida Congresswoman Maria Salazar is leading a new push for immigration reform in Washington. The Miami ...

Nearly 50 health insurers, representing commercial, Medicare Advantage and managed Medicaid plans covering 257 million Americans, recently committed to simplifying and standardizing the prior ...

A transitional housing program and a shelter are expected to close as the number of new arrivals dwindles and state funds dry ...

Sundar Subramanian, a partner at PricewaterhouseCoopers (PwC) consulting affiliate Strategy&, has joined population health management company Zyter|TruCare as its newest CEO, Fierce Healthcare | AI ...