Each complex condition further drives Medicare Advantage disenrollment, according to research published Aug. 21 in JAMA ...
Mark Cuban argues the fundamental problem in U.S. healthcare is not whether the system is run by the public sector or the ...
UnitedHealthcare drop prior authorization requirements for 1,700 procedure codes across commercial, Medicare Advantage, ...
The midterm election is right around the corner, and healthcare costs are a top issue on the ballot. More than half of voters ...
High deductible health plans may reduce how much people spend on healthcare in the short term, but they don’t appear to slow ...
Payer executives often zero on the same idea regarding innovation: It is less a department than a discipline, and less about ...
Of employed adults who could be enrolled in Medicaid expansion and face upcoming work requirements, 19.8% are at risk of ...
DOJ steps crackdown Medicare Advantage upcoding by securing $1.1 billion in settlements from Kaiser Permanente and The ...
Fort Myers, Fla.-based Lee Health said it would terminate hospital and physician contracts with UnitedHealthcare at the end of 2026. Beginning Jan. 1, 2027, Lee Health will be out of network for ...
Amid an industry landscape where the largest insurers have spent years diversifying their portfolios, one regional payer is betting that the current wave of financial disruption is presenting an ...
A federal judge has denied Elevance Health’s request for an emergency recalculation of its 2026 Medicare Advantage star ratings. On Aug. 27, U.S. District Judge Lisa Godbey Wood ruled that Elevance ...
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