Dr. Mehmet Oz, administrator for the Centers for Medicare and Medicaid Services, said during a press conference on Monday that health insurers have “agreed to sheath their swords” and work together on a multipronged effort to overhaul the prior authori…
Rural hospitals will have to scale back services or close altogether should the Senate pass President Donald Trump’s Big Beautiful Bill, according to a new report from Families USA and rural health providers in West Virginia and Iowa.
The Centers for Medicare and Medicaid Services issued a final rule on Friday intended to crack down on what it calls improper enrollment in Affordable Care Act plans.
Health insurers, including Humana, Elevance and CVS Health, have committed to a number of actions meant to simplify and reduce prior authorization, with a focus on connecting patients to care more quickly and reducing providers’ administrative burdens.
UnitedHealthcare has launched a tech-enabled Smart Choice to enhance provider searches for its members.
The technology finds a provider based on personal needs, health plan benefits and preferences. Members will have access through the UnitedHealthcare…
Humana plans to achieve 4 stars in its Medicare Advantage star rating in 2028, according to information released during its Investor Conference on Monday.
The Supreme Court on Wednesday upheld Tennessee’s ban on gender-affirming care for transgender youth.
Three transgender minors, their parents and a doctor challenged Tennessee law SB1 that was enacted in 2023.
Just 14% of healthcare CIOs say their organization has a comprehensive, well-defined AI strategy, according to Qventus survey data and interviews with CIOs, CMIOs and senior IT leaders at medium and large U.S. health systems.
While enthusiasm for AI re…
Ascension has announced that it is acquiring AmSurg and its 250 ambulatory surgery centers across 34 states.
The Catholic, nonprofit health system said the transaction will significantly expand its ability to deliver care in community-based settings.
W…
At AHIP 2025 in Las Vegas this week, Quest Analytics and Arcadia announced a data integration partnership that is expected to give payers the ability to build more competitive networks.
