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

Authparency.ai, an AI-enabled prior authorization platform for healthcare providers, earns First Prize at the inaugural ...

Traditional Medicare in six states will soon feel more like privatized Medicare Advantage, using prior authorizations to ...

With new costs and benefits coming to Medicare in 2026, it's time to prepare. Follow our simple 4-step checklist to review ...

The first rule for writing litigation survey questions is fundamental: they must be written in a way that can be clearly ...

With new prior authorization rules for Original Medicare and a lower OOP max for MA plans, the choice is tougher in 2026.

Despite a Trump administration push, there are few facilities offering the complex treatment in the rural areas where many ...

Most non-emergency care at non-VA facilities requires the VA's approval before you schedule. This includes routine ...

From the denials to critical updates on 340B and prior authorization, here is a look back at the trends and tactics that defined the revenue cycle in 2025.

Discover how file-and-use rating laws let insurers use new rates without prior state approval. Learn how these laws impact insurance prices and consumer protection.

Mayor Brandon Johnson’s borrowing plans, which will have both immediate and yearslong ramifications, have not gotten enough ...

Aetna provided an update on its efforts to streamline the healthcare experience on Thursday, one year to the day after the fatal shooting of UnitedHealth’s top insurance executive sparked a wave of ...