News

Massachusetts health care is already struggling. Medicaid cuts could push it over the edge.
From big hospitals to community health centers, Congress' massive medicaid reform plans could shake the foundation of a ...
GoHealth Secures Amended Credit Agreement Highlighting Broad Based Support from Stakeholders
GoHealth, Inc. (NASDAQ: GOCO), a leading health insurance marketplace, today announced it has entered into an amendment with its lenders under the Company’s existing credit agreement in order to, ...
Taking From the Poor and Giving to the Rich Is Not Populism
The Trump tax-and-spending bill comes in the wake of one of the most significant developments in American politics over the ...
The Bismarck Tribune1h
Concerns in North Dakota grow about increased ACA costs, medical debt
North Dakota health care organizations and insurance regulators are sounding a warning about the potential increase in out-of ...
To keep Medicaid, a mom caring for her disabled adult son may soon need to prove she works
Republicans have touted Medicaid work requirements both as a way to reduce federal spending on the program and as a moral ...
Letter: What we have requested from our legislators
Medicaid reimbursement rates also present a substantial financial challenge. In 2022, TCMH billed Medicaid nearly $19 million ...
Office of Healthy Aging requesting special enrollment period for UHC Medicare Advantage
As the contract between UnitedHealthcare Medicare Advantage and Brown University Health’s Rhode Island hospitals is set to end July 1, the state’s Office of Healthy Aging (OHA) tells ...
Office of Healthy Aging requesting special enrollment period for UHC Medicare Advantage patients
As the contract between UnitedHealthcare Medicare Advantage and Brown University Health’s Rhode Island hospitals is set to ...
The true cost of the GOP’s megabill will be measured in lives. Thousands of lives.
The true cost of the GOP’s megabill will be measured in lives. Thousands of lives.
Becker's Hospital Review21h
CMS to add prior authorization for traditional Medicare services
CMS has unveiled the Wasteful and Inappropriate Service Reduction model, a new Innovation Center initiative aimed at reducing unnecessary services in traditional Medicare and streamlining the prior ...
Becker's Spine Review14h
CMS to add prior authorization for spine procedures in traditional Medicare
Some fee-for-service spine procedures in traditional Medicare will have prior authorizations added, according to CMS’ new Wasteful and Inappropriate Service Reduction model. CMS is partnering with AI ...
InsuranceNewsNet23h
CMS launches WISeR Model for Medicare prior authorization
The Centers for Medicare & Medicaid Services announced a new Innovation Center model aimed at helping ensure people with Original Medicare receive care.