More scrutiny is expected for providers who serve patients covered by Medicare Advantage.
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CMS is looking to create a "universal foundation" of quality measures across all its programs, such as Medicare and Medicaid.
Phoenix Children's Hospital patients with Cigna employer-sponsored health plans will remain in network with the payer while the sides finalize a new contract.
Blue Cross Blue Shield of North Carolina is sponsoring an insurance pre-licensing academy as part of the payer's efforts to create a more diverse workforce in the insurance industry.
Elevance Health has the highest number of prior authorization requests per Medicare Advantage member, while CVS and Kaiser Permanente have the highest rate of denials in 2021, according to an analysis from Kaiser Family Foundation.
Medicare Advantage plans fully or partially denied around 6 percent of prior authorization claims in 2021, according to an analysis from Kaiser Family Foundation published Feb. 2.
A partnership between Los Angeles County, L.A. Care Health Plan and Centene's Health Net will soon offer free mental telehealth services to 1.3 million public school students.
More than 66,000 Cigna beneficiaries will soon be back in network with St. Luke's Health after a long dispute.
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.
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…