Justice Department prosecutors recently interviewed former employees about company practices that boost federal payments.

Skeptics note that efforts to streamline the much-despised prior authorization system have failed twice before.

Mangione was said to have written that he is grateful for both "conservatives" and "liberals," among other things.

UnitedHealthcare, CVS Health's Aetna and dozens of other insurers say they plan to reduce the scope of health care claims subject to prior authorization, standardize parts of the process and expand ...

Nearly seven months after the fatal shooting of an insurance CEO in New York drew widespread attention to health insurers’ ...

CEO shooting latest: Person of interest Luigi Mangione under arrest Police are questioning the 26-year-old in Altoona, Pennsylvania, in connection with the murder of UnitedHealthcare CEO Brian ...

BRISTOL, Conn — A local man was arrested after allegedly posting threats to social media targeting the CEO of Bristol Hospital. Bristol police found and arrested Richard Stark, 58, who was charged ...

Insurers say the changes will improve access and reduce delays in treatment, but critics warn this is a voluntary pledge, not ...

In a comment made Tuesday, CMS chief Mehmet Oz pushed for the elimination of the payments drugmakers send to pharmacy benefit managers after prescriptions are filled. Other industry news is about a ...

Phil Galewitz, senior correspondent, covers Medicaid, Medicare, long-term care, hospitals, and various state health issues. He has covered health for more than three decades.

Prior authorization refers to when medical providers have to get approval from insurers before performing a service. Patients ...

PG&E has also agreed to major settlements in recent years to avoid prosecution for destructive wildfires. The security increase also comes after UnitedHealthcare CEO Brian Thompson was murdered last ...