CMS has unveiled the Wasteful and Inappropriate Service Reduction model, a new Innovation Center initiative aimed at reducing unnecessary services in traditional Medicare and streamlining the prior ...

Following an anti-immigration agenda, Medicaid and Medicare will be limited to citizens, excluding all migrants who do not ...

“Americans shouldn’t have to negotiate with their insurer to get the care they need,” Health and Human Services Secretary ...

Dozens of health insurers, including those with MA plans, pledged on Monday to reduce their use of prior authorizations, sparking excitement and skepticism.

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

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

U.S. Health and Human Services (HHS) Secretary Robert F. Kennedy Jr. speaks as he and Centers for Medicare and Medicaid ...

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

Major insurers have agreed to six commitments that should make accessing care easier for patients while removing ...

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.

Humana has informed congressional staffers that it supports measures to limit billing practices that result in billions of extra payments to the industry. The company expressed willingness to ...