Prior authorizations are the way MA managed care plans pre-approve some procedures before they’ll pay for them.

Kaleb Hoover of Nampa sentenced for fraudulently switching Medicare Advantage plans, facing probation and restitution after ...

And according to an analysis of federal health care data by Value Penguin, of all of the major health insurance companies, ...

Will your care be denied? Medicare Advantage insurers use prior authorization to manage utilization and lower costs. How to compare plans during open enrollment.

Clearwater-based e-Telequote Insurance will soon lay off employees from its Tampa branch, according to a Worker Adjustment and Retraining Notification (WARN) Notice on Feb. 3 to Tampa Mayor Jane ...

Rep. Ro Khanna (D-Calif.) joins 'Squawk Box' to discuss President Trump's third week back in office, DOGE and Elon Musk's efforts to downsize the federal government, working across the aisle in the ...

Mark Shepard, a Harvard Kennedy School expert, looks at the crossroads facing the American health insurance system, a patched ...

And bear in mind that there are some things that Medicare doesn’t cover.

Officials at Musk-led DOGE were given access to the inner workings of the Centers for Medicare and Medicaid Services (CMS), ...

Representatives of Elon Musk's new federal agency have access to payments and contracting information from the Centers for ...

Privatized Medicare Advantage plans overbill the U.S. federal government by up to $140 billion per year as they make patients ...

Albany Med Health System and CDPHP have reached an agreement on a new deal that ensures the hospital system will continue to ...