Prior authorization ranks as the single biggest burden insured Americans face when navigating the healthcare system, according to a KFF Health Tracking Poll published Feb. 2. The poll was conducted ...

Cancer survivors enrolled in high-deductible health plans had significantly worse overall and cancer-specific survival than those in standard health plans, according to a study published Jan. 29 in ...

As more hospitals and health systems grow frustrated with Medicare Advantage plans, Ascension is among the organizations rethinking how — and whether — to continue participating. Delays in care, high ...

Point32Health — which includes Harvard Pilgrim Health Care and Tufts Health Plan — appointed Marti Lolli as executive vice president, chief growth officer, and Jeff Weiss as executive vice president, ...

Becker’s connected with 17 health plan leaders to learn how their organizations are shifting their priorities in response to continued medical cost trends and affordability concerns. Like what you see ...

The Labor Department’s Employee Benefits Security Administration proposed regulation Jan. 29 that would require pharmacy benefit managers to disclose their compensation with self-insured group health ...

BCBS Vermont President and CEO Beth Roberts has worked all over New England — but her latest role marks her first foray into Vermont. She described the state’s insurance market as “interesting” in a ...

Medicare Advantage insurers made almost 53 million prior authorization decisions in 2024, according to a Jan. 28 KFF analysis. KFF relied on insurer data reported to CMS, focusing on service ...

Sen. Bernie Moreno, R-Ohio, said his party is preparing to make its “best and final offer” to extend the ACA enhanced tax credits, Politico reported Jan. 28. Mr. Moreno has been a lead negotiator in a ...

Payers are continuing to trim their workforces amid financial pressures, Medicaid funding cuts and strategic restructuring. Below are workforce reduction efforts or job eliminations that were ...

Ten health technology companies have pledged more than $600 million in no-cost and discounted services to help states implement Medicaid work requirements. According to a Jan. 29 news release from CMS ...

CMS has issued a final rule that will end states’ ability to levy provider taxes to generate additional federal Medicaid matching funds, a financing mechanism the agency characterized as a “loophole.” ...