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

Democratic Gov. JB Pritzker began the Illinois legislative session with an ambitious agenda. It ended with mixed results.

You do not need to be an AARP member to enroll in an AARP/UHC Medicare Advantage plan. Roughly four out of five UnitedHealthcare Medicare Advantage plans have prescription drug ... prior authorization ...

This results in high, unregulated prescription drug costs and ... The U.S.-managed care plans may succeed in lowering healthcare costs by requiring prior authorization for seeing a high-priced ...

Here are some examples where Gov. JB Pritzker accomplished what he set out to do this legislative session — and a few places ...

New Product Streamlines Prior Authorization to Improve Patient, Provider, and Payer Outcomes BOSTON, MA / ACCESS Newswire / ...

An up-to-date assessment of environmental emissions in the US health care sector is essential to help policy makers hold the health care industry accountable to protect public health. We update ...

The startup automates prior authorization ... a patient in their care. Cohere sells its platform primarily to health plans and at-risk providers. The company has health plan customers in all ...

Kennedy Jr.’s plan to “Make ... improper payments.” Health care experts are skeptical. “The track record of using AI or algorithms in Medicare Advantage prior authorization and coverage ...

Insurers attribute the decline to health plan investments to streamline the prior authorization process. In recent months, companies such as UnitedHealth Group, Cigna, Elevance Health and others ...

NEW THIS AFTERNOON, BON SECOURS HEALTH SYSTEM SAYS IT IS NEGOTIATING WITH UNITED HEALTH CARE ... ACA), and the Veteran's Affairs Community Care Network (VACCN) health plans.