The loss of revenue could shrink access to health care for some of the nation’s poorest and most vulnerable people.

Federal health officials on Monday touted pledges they have received from the health insurance industry to streamline and reform the prior authorization process for Medicare Advantage, Medicaid ...

Indiana is introducing new tools on July 1 to evaluate if children and infants qualify for home- and community-based services ...

CMS said the move is expected to save American taxpayers up to $12 billion in 2026, by "combating the surge of improper ...

As Senate Republicans debate Trump's 'Big Beautiful Bill Act,' what changes, if any, do you want to see to Medicaid? Here's ...

Major insurers say they’ll ease up on the prior authorization practice that can delay necessary care for patients.