"Insured to Death" argues that the U.S. health care system is failing due to profit-driven insurance companies and their ...

In an interview with Managed Healthcare Executive, Yosi Health CEO Hari Prasad praised insurers' new voluntary pledge to simplify prior authorization, calling it a key step toward faster care and ...

Nearly 50 health insurers, representing commercial, Medicare Advantage and managed Medicaid plans covering 257 million Americans, recently committed to simplifying and standardizing the prior ...

More than 40 payers have voluntarily signed onto to pact to transform prior authorization processes. Here is a breakdown of the six commitments at the core of the initiative.

Dr. Matt Crowson, the genAI expert at Wolters Kluwer Health, dives into the company's new survey of caregivers and execs on ...

Sundar Subramanian, a partner at PricewaterhouseCoopers (PwC) consulting affiliate Strategy&, has joined population health ...

In 2026, the Centers for Medicaid and Medicare Services will implement a prior authorization for certain services covered ...

Many in the MAGA movement are in a state of anger and disbelief over the Justice Department and FBI’s memo disclosing that ...

Wasteful and Inappropriate Service Reduction (WISeR) model will use AI to review items and services that CMS deems vulnerable ...

The post Federal officials push for prior auth reform appeared first on Self Employed.

As we age, prescription medications often become an essential part of managing our health. Whether it's for controlling blood pressure, treating diabetes or easing arthritis ...

Alex Morgan, one of the best women's soccer players in U.S. history, announced her retirement from the game last fall. “I’m ...