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 ...

If she opens her mouth too wide, she worries, people will see her chipped, plaque-covered front teeth. An immigrant without legal status, Maria doesn’t have health or dental insurance. When her teeth ...

During a Tuesday hearing, Republican legislators appeared open to changing the privatized Medicare program — once a GOP ...

On July 15, 2025, the Centers for Medicare & Medicaid Services (CMS) released the CY 2026 Outpatient Prospective Payment System (OPPS) proposed ...

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 ...

Inappropriate denials for prior authorization and coverage of medically necessary services are a pervasive problem among ...

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 ...