A year ago, the killing of a health insurance executive on a Manhattan sidewalk unleashed many Americans’ pent-up frustration with insurers’ delays and denials of care.

Strengthen your financial backup. Even with Medicare coverage, unexpected out-of-pocket expenses can pop up. Earn as much as ...

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The program will let AI review seniors’ requests for certain medical care — and will reward companies when they deny it.

Over the summer, Aetna made a commitment to ease friction for both patients and providers. | Over the summer, Aetna made a ...

Medicare’s new WISeR AI pilot aims to cut fraud and waste, but doctors worry it could slow care for seniors when it launches ...

Initially meant to protect patients from unnecessary procedures, prior authorizations have shifted towards being a cost containment strategy for health payers. This shift is causing significant ...

The requirements will make exchanging health data more efficient and reduce administrative burden. Today CMS finalized the Interoperability and Prior Authorization Final Rule, continuing its efforts ...

Arizonans enrolled in original Medicare will be test subjects for a controversial new program that makes use of AI to approve ...

Last week, right before you enjoyed your Thanksgiving feast, the Centers for Medicare & Medicaid Services (CMS) released a proposed rule that lays ...

The nation’s major health insurers are promising to scale back and improve a widely despised practice that leads to care delays and complications. UnitedHealthcare, CVS Health's Aetna and dozens of ...

The majority of health plans aren’t “making meaningful progress” on prior authorization reforms, according to a physician survey released by the American Medical Association. 1. Just 8 percent of ...