CMS issued a proposed rule that it says will streamline the prior authorization process and estimates the efficiencies introduced in the proposal would save hospitals and physician practices more than $15 billion over a 10-year period.
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Centene will pay Oregon $17 million to settle allegations the payer overcharged the state's Medicaid program for pharmaceutical services, the Oregon Justice Department said Dec. 6.
The No Surprises Act, which protects consumers from out-of-network charges for emergency care and other services, took effect Jan. 1 of this year.
The $25 billion in federal funds given to healthcare providers over the course of the pandemic is drying up, which could leave the nearly 30 million uninsured Americans footing the bill for their future COVID-19 care, The New York Times…
Deductibles can deter women from seeking additional screening after abnormal findings on a mammogram, a study presented Nov. 29 at the Radiological Society of North America found.
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Many local commercial and exchange markets are largely controlled by one payer, according to the American Medical Association.
Medicare Advantage plans have faced scrutiny for possible upcoding and pressure to update provider directories. Here are nine Medicare Advantage updates Becker's has reported since. Nov. 18.
From adding Humira biosimilars to its pharmacy formulary to Evernorth becoming a minority owner in VillageMD, here are nine stories about Cigna that Becker's has reported since Nov. 9:
The owner of San Antonio-based Superior Home Health Services has been indicted in connection with the theft of employee insurance premiums, ABC-affiliate KSAT reported Dec. 2.
The sponsor of the Senate's version of a bill to reform the Medicare Advantage prior authorization process called prior authorization the "No. 1 physician and administrative concern in America."