The Affordable Care Act, commonly known as Obamacare, is set to experience its most significant price hike in nearly a decade ...

In a recent roundtable, the Department of Health and Human Services and executives from top insurance providers pledged to address longstanding concerns around prior authorizations, aiming to reduce ...

Becker’s reported on six developments in CMS and Medicare news affecting spine surgery and physicians. 1. Some fee-for-service spine procedures in traditional Medicare will have prior authorizations ...

About 68.5 million Americans are currently enrolled in some type of Medicare plan, with about 90% of enrollees being over age 65, according to the Centers for Medicare & Medicaid Services.

The Centers for Medicare & Medicaid Services July 15 issued a proposed rule ( that would increase Medicare hospital outpatient prospective payment system rates by a net 2.4% in calendar year 2026 ...

Funneling money to for-profit companies by rewarding them for denying health care coverage through using unproven, manipulable AI models is not the answer. The Trump Administration is bringing prior ...

The sweeping regulation proposes notable changes to how Medicare pays physicians, but overall results in a modest bump to ...

CMS is proposing changing the Medicare Diabetes Prevention Program to allow more people to access coaching and peer support, as well as practical training in dietary change, physical activity and beha ...

Health insurance companies have pledged to improve prior authorization with 6 key reforms, according to the HHS.

As more adults are looking for help to face overactive bladder (OAB), they wonder if their plan will cover the essensials for ...

Trump admin to use AI for Medicare authorization denials, raising concerns about access to care and increased denials for ...