The Trump administration and insurers appear to have their own changes to reimbursement practices in store, with announcements expected next week — adding to funding changes outlined in Congress’ ...

Anthem Health Plans of Virginia and its HealthKeepers managed care unit have agreed to pay $300,000 to settle allegations from the state's insurance department that it was not paying claims as quickly ...

President Joe Biden announced a series of actions aimed at addressing surprise medical billing, unfair medical debt and "junk" short-term insurance plans. From Kraft Heinz employees suing Aetna for ...

When medically complex patients require hospital care, they tend to experience longer recovery times than other patients do and are more likely to readmit to the ICU. 1,2 Kindred Hospitals, a network ...

From policy changes announced by UnitedHealthcare, to a final rule issued by CMS, here are seven key prior authorization updates Becker's has reported so far in 2023. The Michigan Department of Health ...

Nebraska Gov. Jim Pillen has signed the Ensuring Transparency in Prior Authorization Act, which aims to overhaul the prior authorization process in the state by making prior auth requirements publicly ...

CVS Health and former Cigna executive Amy Bricker are appealing a St. Louis federal judge's decision to grant a preliminary injunction barring her from working for CVS while a lawsuit over her ...

From rolling back a planned gastroenterology endoscopy prior authorization policy to making an unsolicited cash offer to acquire Amedisys, here are 10 updates on UnitedHealth Group Becker's has ...

A federal judge in North Carolina certified class action status June 5 in a lawsuit alleging Aetna and OptumHealth Care Solutions conspired to use "dummy code" to make administrative fees appear to be ...