Two reports examined prior authorization practices at the three largest Medicare Advantage Organizations across acute care, rehabilitation, and nursing facilities.
Health insurance
Arizona's AG described the arrangement as “old‑fashioned price‑fixing using new technology."
Authors of a new survey say their findings underscore the growing role that insurance practices play in shaping Americans’ access to care and financial stability.
The updated IDR rule seeks to streamline a strained arbitration process, even as insurers and providers trade blame over rising costs and the growing role of private equity in out-of-network billing.
ACA Marketplace enrollment in freefall as premium tax credit expiration drives millions off of "subsidy cliff."
Part D enrollees will gain $50 monthly access to select GLP-1 medications through a new CMS demonstration program – but at what price?
Shift to all-electronic PA system could save billions, ease provider burden, and create interoperable healthcare ecosystem for the 21st century, says CMS Administrator Oz.
A new study finds that a process designed to ensure patients receive timely and appropriate care may actually be gumming up the works.