Last week, the Biden administration finalized a prior authorization rule that, among other things...
Medicare
Even with billions in overpayments, Medicare Advantage insurers...
The latest news suggests that Humana and other big insurers are losing shareholder value because...
Are lower income individuals enrolling in Medicare Advantage for...
Medicare Advantage enrollment is up, and people with low incomes and people of color are enrolling...
Medicare Advantage needs serious fixes; $88 billion in...
The Medicare Payment Advisory Commission (MedPAC), a non-partisan independent agency, last week...
Why won’t the government protect people from prior...
Lauren Sausser reports for KFF Health News on the failure of the Centers for Medicare and Medicaid...
Elevance Health sues to undo changes to Medicare Advantage...
For years, the Centers for Medicare and Medicare Services (CMS) has been giving additional money to...
Cigna plans to sell its Medicare Advantage business
The Wall Street Journal reports that Cigna is planning to sell its Medicare Advantage book of...
UnitedHealth’s denials of critical rehab services is under...
Stat News reports on United HealthCare’s secret rules that deny Medicare Advantage enrollees...
For-profit hospitals urge CMS to hold Medicare Advantage plans...
Over the last several decades, US hospitals, particularly the for-profit hospitals, generally have...
Humana sued for inappropriate Medicare Advantage care denials
Humana is the latest of the Medicare Advantage insurers to be sued for using AI to systematically...