The One Big Beautiful Bill Act has expanded access and flexibility to health savings accounts (HSAs), which can help account ...

Humana, the second-largest provider of Medicare Advantage Plans, has pledged to streamline the often frustrating Prior ...

On July 17, 2025, the Centers for Medicare and Medicaid Services (CMS) announced an additional extension of the deadline by which skilled nursing facilities (SNFs) must revalidate their Medicare ...

CMS' 2026 Outpatient Prospective Payment System proposed rule includes a provision that would increase the reduction in OPPS payment rates to offset the lump sum payments previously paid to 340B ...

At a subcommittee hearing, lawmakers expressed a willingness to legislate prior authorization and "upcoding" practices used by insurers. It's not clear when they might take action in light of a packed ...

Humana has released details about additional, upcoming organizational improvements to encourage a faster prior authorization ...

CMS issued the 2026 Medicare Physician Fee Schedule, or PFS, proposed rule on July 14.It includes a 0.75% increase to the ...

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

While Medicare Advantage (MA) penetration has skyrocketed, forcing home health providers to adapt their businesses. MA home health utilization, however, ...

The Coalition for Health AI is convening a fast-tracked, priority team to determine how AI could best be used to implement ...

Both the Centers for Medicare & Medicaid Services (CMS) and dozens of the nation’s largest insurance companies have revealed upcoming changes to ...

In a recent roundtable, the Department of Health and Human Services and executives from top insurance providers pledged to address longstanding concerns around prior authorizations, aiming to reduce ...