CMS is expecting a small revenue bump of 1.03 percent on average for Medicare Advantage and Part D plans in 2024 as part of a slate of potential risk adjustment and star ratings changes that has some industry leaders concerned.
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From CMS issuing a proposed rule to streamline the process, to a report indicating a majority of states could introduce bills this year to limit or change the process, here are nine stories about prior authorization Becker's has reported since…
Bright Health is implementing another round of layoffs, the Minneapolis/St. Paul Business Journal reported Feb. 1.
AmeriHealth Caritas has named Marla Purvis as Georgia market president.
CMS' new Medicare Advantage auditing standards did not include enough information about auditing methods to understand its full impacts, Humana executives said on a Feb. 1 investor call.
Health Net is launching a "review to renew" campaign to inform its millions of Medicaid members in California about upcoming redeterminations.
CMS released 2023 enrollment figures for government-sponsored health plans Jan. 31.
UnitedHealthcare will stop mailing overpayment and appeal decision letters to primary and ancillary healthcare providers in 13 states and Washington, D.C., starting May 5.
GuideWell subsidiary PopHealthCare has named Kevin Hiler as chief information officer.
Maine Gov. Janet Mills has nominated the state's ACA marketplace director, Meg Garratt-Reed, to be executive director of the new Office of Affordable Health Care.