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

Humana Inc., a leading health and well-being company, today announced accelerated efforts to approve care requests as quickly as possible and reduce the administrative burden for physicians associated ...

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

Over the past decade, health insurance companies have increasingly embraced the use of artificial intelligence algorithms – ...

Working with industry will get us there faster than blunt-force regulation.

GoodRx reports that insurance coverage for GLP-1 medications varies. It's more likely when prescribed for FDA-approved uses ...

As Medicare turns 60, Medscape convened an expert panel to discuss the use of AI in medicine, physician reimbursement, and ...

NEXT reports nine common reasons for commercial insurance claim denials, including inadequate coverage, missed deadlines, and ...

As Medicare turns 60, Medscape convened an expert panel to discuss if physicians can survive without the program and the ways ...

On July 15, 2025, the Centers for Medicare & Medicaid Services (CMS) released an Audit and Enforcement Report summarizing its annual ...

Without the right contractual terms in place, hidden costs may mar pooled purchasing power at the expense of employer clients ...

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