Leading US health insurance organizations have agreed to reduce prior authorizations and increase transparency surrounding ...

UnitedHealthcare, Blue Cross Blue Shield and other health insurers plan fixes to prioer authorization, a common source of ...

The Department of Health and Human Services June 23 announced an initiative coordinated with multiple health insurance ...

Top officials in the Department of Health and Human Services (HHS) are touting a multipronged effort from major payers to ...

WASHINGTON (Reuters) -U.S. health secretary Robert F. Kennedy Jr. met with major health insurers on Monday, extracting ...

Highmark is among the more than 50 health insurers who pledged Monday to speed up and slim down prior authorization, the ...

At the insurer's investor day, Humana struck a middle ground in defending the importance of the privatized Medicare program — ...

Investing.com -- CVS Health (NYSE: CVS) stock rose 1% on Wednesday after Bloomberg reported that Medicare Pharmacy Benefit Manager (PBM) limits were stripped from the Senate version of the tax bill.

Medicare Advantage (MA) enrollment increased by 22.2 million beneficiaries (337.0 percent) from 2006 through 2022, whereas traditional Medicare enrollment declined by 1.0 million (−2.9 percent ...

Compared with traditional Medicare, Medicare Advantage plans are, on average, paid more by the taxpayer-funded Medicare system for covering each enrollee. Advantage plans also have more flexibility to ...

The vast majority of diagnoses codes that CVS subsidiary Coventry submitted to the CMS between 2018 and 2019 weren’t ...