Last week, a coalition of more than 50 major health insurers signed a pledge at a Washington, D.C. summit to “simplify” prior authorization. Led by Secretary Robert F. Kennedy Jr. and Centers for ...

On July 4, President Donald Trump signed the “One Big Beautiful Bill Act,” which includes major changes for employee benefits. 1. Starting January 1, individuals enrolled in bronze and catastrophic ...

Insurers own less than 5% of primary care providers, but this share has grown significantly since 2016, a study published in the July issue of Health Affairs Scholar found. Researchers calculated the ...

Federal lawmakers have introduced a handful of bills aimed at speeding up prior authorization and cracking down on upcoding in Medicare Advantage. None of the introduced bills have been heard in ...

The affordability of employer-sponsored health insurance varies significantly by household income, according to a report from the Peterson-KFF Health System tracker. Average employer-sponsored ...

Louisiana Gov. Jeff Landry has vetoed a key provision from the state’s budget plan that would have required coverage of weight loss medications for state employees and their dependents for the ...

UnitedHealthcare and Cigna Healthcare are facing lawsuits from members or their families alleging the organizations use automated data tools to wrongfully deny members’ medical claims. The allegations ...

Six things to know about the two-midnight rule and how it applies to Medicare Advantage: 1. In the 2014 Medicare inpatient prospective payment system final rule, CMS included a new regulation for ...

Patient expectations will push healthcare to evolve by 2030, according to 23 payer executives. Leaders said AI, new models of care and a push toward convenience will transform healthcare in the next ...

The first wave of UnitedHealthcare’s previously announced 20 percent reduction in prior authorization requirements takes effect Sept 1.

The nation’s largest Medicaid program could eliminate coverage of GLP-1 drugs for weight loss. A proposed budget published by California Gov. Gavin Newsom would eliminate coverage for GLP-1 drugs for ...

CMS will raise limits for payments to Medicare Advantage brokers for 2026. According to a notice from CMS published June 18, plans can pay brokers up to $694 for new enrollments in MA plans, and $347 ...