A group of senators are speaking out against the CMS’ new Wasteful and Inappropriate Service Reduction (WISeR) model.

A campaign to expand Medicaid in Florida is postponing its efforts to place the issue on the ballot until 2028, due to a new ...

SAN FRANCISCO, CA / ACCESS Newswire / September 24, 2025 / Ambience Healthcare today announced the launch of its HCC ...

America’s high drug prices have long exercised politicians on both sides of the aisle. According to a study by the RAND ...

While the use of AI in health insurance isn't new, Medicare has been slow to adopt the private-sector tools. Medicare has historically used prior authorization in a limited way, with contractors who ...

The Trump administration is touting an old generic drug as a new treatment for autism despite limited evidence, sparking unease among doctors and scientists who say the medication needs to be ...

The publication describes the potential impacts of Medicaid work requirements, key points in the implementation timeline and ...

Medicare beneficiaries face higher premiums and deductibles, reduced services, and possible cuts to the program at large—but ...

Starting January 1, 2026, the Centers for Medicare and Medicaid Services (CMS) will introduce a new pilot prior authorization program in select states. Here’s what you should know about how it could ...

When new medical providers meet 16-year-old Evie Wismer for the first time, they’re usually overwhelmed by her medical ...

Texas Attorney General Ken Paxton said a court ruling protects Medicaid funding and blocks a Biden-era rule on state ...

Humana (HUM) and other health insurers are in focus as Medicare Advantage enrollments are projected to drop by nearly 1M in ...