To receive Medicare benefits, eligible people select either traditional Medicare or Medicare Advantage (MA)—options that differ markedly in cost, benefits, financial arrangements, and who pays ...

Trump is changing Medicare, mostly focusing on providers. But the biggest impact may come from tariffs and deporting ...

Indiana's health care system is taking a major step forward following the implementation of a new law authored by state Sen.

Keep in mind: If you're approved, a prior authorization only lasts for a set period of time. A prior authorization can expire ...

The prior authorization process is in the spotlight as the majority of Americans say delays and denials of services and ...

Everyone’s talking about AI in healthcare — but in revenue cycle management, confusion remains about what it actually does. For RCM and finance leaders, the key question is: What makes an AI solution ...

Johns Hopkins Medicine and UnitedHealthcare are at odds over an agreement that would keep the insurer’s health coverage in ...

UnitedHealth Group reported second quarter earnings Tuesday, for the first time not serving as the bellwether for the ...

Michigan's Collaborative for Type 2 Diabetes (MCT2D), a statewide population health collaborative quality initiative, analyzed nearly 1,000 physician-submitted patient case summaries and needs ...