During the last election cycle, voters in nearly a dozen legislative districts — including the district that includes all of ...

Prior authorizations are the way MA managed care plans pre-approve some procedures before they’ll pay for them.

Since its inception, Episode Alert has steadily evolved to meet the complex needs of Medicare-compliant facilities like home health and hospice agencies, Medicare billers, DME/HME, lab companies ...

The White House rescinded a pause on all Federal grants and loans, but the short-lived action shined a light on what could ...

On its last weekday in power, the Biden Administration has chosen the next batch of drugs up for price negotiation in Medicare.

Under the Affordable Care Act (ACA), the 60-Day Rule requires healthcare providers, suppliers, Medicare Advantage (MA) organizations, and Part D plan sponsors ... and remind all employees and ...

The first model allows Part D Sponsors, or private insurers who provide prescription drug benefits to Medicare beneficiaries ... than the rate of inflation. All of these policies remain in ...

But Kennedy needs backing from nearly all Republicans to land the job ... appeared still uncertain. WHYY thanks our sponsors — become a WHYY sponsor Kennedy had no answers for Cassidy, who asked the ...

In all kinds of ways, they're more vulnerable. But the Medicare Advantage private insurers ... from us on behalf of our trusted partners or sponsors Elaine Silvestrini has worked for Kiplinger ...

Also, last fall four of the largest MAOs, UnitedHealthcare, Centene, Elevance, and Humana, all ... plan sponsors. A plan’s Star Rating impacts how and when it can be marketed, and in Medicare ...

Hospitals are also seeing higher uncompensated care as individuals lose Medicaid coverage or decide not to purchase health insurance. If there are changes to the health insurance exchanges, more ...