The case, originally filed by a whistleblower in 2021, alleges that MAOs paid agents and brokers illegal kickbacks to drive ...

Centene said it was hit by higher Medicaid costs related to behavioural health, in-home care and high-cost drugs ...

The announcement on prior authorization comes months after the killing of UnitedHealthcare executive Brian Thompson, which ...

Prior authorization can be a roadblock that costs lives,” Rep. Mark Green, M.D., declared as a bipartisan group of ...

From UNC Health suing Aetna and Humana to Purdue Pharma reaching a settlement over its role in the opioid epidemic, here are 10 healthcare industry lawsuits, settlements and legal developments that ...

Months after the killing of a top health insurance executive unleashed Americans’ pent-up anger over denials of medical care, ...

U.S. health secretary Robert F. Kennedy Jr. met with major health insurers to secure pledges for reforms in prior approval ...

Dozens of health insurers, including those with MA plans, pledged on Monday to reduce their use of prior authorizations, sparking excitement and skepticism.

Dozens of the nation's largest health insurance companies are pledging to speed up prior authorization approvals, which can ...

Health insurance companies are set to streamline, simplify and reduce the pre-approval process by transitioning to an ...

The new Cardinal Care Managed Care program, which is intended to assist 1.4 million Virginians, was announced by Gov. Glenn ...