Several Democrats have claimed that the Trump administration's Jan. 3 military operation that led to the capture of ...

Higher premiums, rising drug costs, and new authorization rules are reshaping Medicare in 2026—changes that could affect ...

Rybelsus (oral semaglutide by Novo Nordisk) is used for type 2 diabetes, so the expense is usually ongoing, not a one-time ...

A new North Dakota law that took effect Jan. 1 requires health insurers to respond to prior authorization requests in a timely fashion. The changes follow reforms seen elsewhere in the country, and ...

Ahead of HIMSS26, Sairohith Thummarakoti of Texas A&M University–Kingsville previews his talk on how agentic AI and low-code ...

A new Medicare pilot using prior authorizations in six states sparks debate. Critics warn it could delay care for seniors, ...

The second section of House Bill 14, which was approved in the 2024 legislative session, is now law. It introduces a concept ...

A six-state pilot program will target “wasteful care” under Medicare, Centers for Medicare & Medicaid Services says.

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

Notable healthcare policies taking effect in 2026 will reshape hospital operations, reimbursement, insurance markets and patient access nationwide.

In October, CMS announced the launch of a new prior authorization demonstration that would introduce new requirements for select services. This comes just four months after news of an agreement ...

In August, AHIP, the trade association for health insurance companies representing the industry’s top players, announced that they reached a deal with the White House to reform prior authorization for ...