The health insurance industry counters that prior authorization and other forms of utilization management ... The Centers for Medicare and Medicaid Services instituted a rule in January that ...

Community Hospital Corp. President and CEO Jim Kendrick says Medicaid reimbursement reductions could cripple rural ...

The Centers for Medicare & Medicaid Services (CMS ... to enhance the efficiency of prior authorization. AI-powered tools can automate data intake, verify form completeness, and streamline decision ...

Beneficiaries’ initial enrollment choices, whether active or passive, tend to have long-lasting implications because ...

Healthcare has seen a slew of proposed policy changes at the federal level in recent months. Here are the 10 most important federal policy updates for ASC leaders and physicians to know since May 1: 1 ...

The Trump administration on Wednesday banned people from 12 countries from entering the United States, a dramatic escalation ...

House passes GOP tax and spending cuts package, targeting Medicaid, food stamps, and tax breaks. Senate changes expected.

State Medicaid policy can influence prior authorization use ... Reducing the manual burden of prior authorization Electronic prior authorization Prior authorization forms filled out electronically ...

Hogan Lovells and the AI Health Care Coalition recently hosted their fourth annual AI Health Law & Policy Summit, where thought leaders ...

“Your employer hires your insurance company, and so your employer should say to the insurance company, ‘We're going to hold ...

The state’ s Division of Insurance issued a regulatory bulletin on Thursday requiring private health insurance companies to limit the growth of deductibles and copays for patients to the rate of ...