A six-state pilot program will target “wasteful care” under Medicare, Centers for Medicare & Medicaid Services says.

Recognition validates operator-led approach to solving administrative burden that costs U.S. healthcare system $31B ...

Health insurance companies are expected to hold to their promises in 2026 to “streamline, simplify and reduce” prior ...

The Center for Medicare and Medicaid Innovation (CMS) has officially announced which producers will require prior ...

The program was first announced in June by Health and Human Services Secretary Robert F. Kennedy Jr. and Dr. Mehmet Oz, ...

As 2026 is now in full swing, the state of Wyoming is preparing to implement a slate of legislative changes that will impact ...

In October, CMS announced the launch of a new prior authorization demonstration that would introduce new requirements for select services. This comes just four months after news of an agreement ...

Many Americans struggle with medical bills and ridiculous charges. Experts who helped many get them settle offer their best ...

Across healthcare, providers are rapidly deploying tools such as ambient clinical documentation, while payers are adopting AI-powered agents for a growing range of operational and administrative use ...

Increasing pressure from managed care and other payer organizations did not dramatically undercut overall nursing home lengths of stay in recent years, but they are primed to have more influence over ...

The 1973 War Powers Resolution allows him to deploy military forces without prior approval of Congress.

Democrats raised constitutional concerns and said the Trump administration had misrepresented its goals in Venezuela, while ...