UnitedHealthcare and Fairview Reach Agreement to Secure Patient Access
Discover how UnitedHealthcare and Fairview's agreement could impact healthcare access and insurance costs for thousands of patients in Minnesota.
Concerns Over Anthem Blue Cross E/M Claim Policy Changes
CMA raises alarm on Anthem Blue Cross's E/M claims policy, warning of delays and compliance issues. Insights on regulatory impacts and provider recommendations.
Transforming Skilled Nursing Data Submission: Medicare's New Cost Report Impact
Explore how new Medicare cost report forms are transforming skilled nursing data submission, promoting transparency and compliance for providers in the industry.
Enhancing Health Insurance Efficiency: Tackling Prior Authorizations
Discover how Evry Health is revolutionizing prior authorizations in health insurance, reducing denials and improving efficiency through technology and collaboration.
Proposed Medicare Legislation Aims to Block AI-driven Prior Authorization Model
Explore how the proposed SMARTER Care Act aims to prevent AI-driven prior authorization in Medicare, ensuring patient-centered care and reducing administrative burdens.
Final Sentencing in Arizona Medicare Insurance Fraud Case
Explore the significant sentencing of Arizona business owners in a healthcare fraud case targeting Medicare. Understand the implications for insurers and compliance.
Critical Insights on Medicare Advantage: AM Best Briefing 2026
Join AM Best’s vital briefing for insights on Medicare Advantage dynamics, challenges, and opportunities in health insurance. Learn from industry leaders now!
Medicaid Budget Cuts Impacting Skilled Nursing Facilities: What You Need to Know
Discover how upcoming Medicaid budget cuts under the One Big Beautiful Bill Act will shape the future of skilled nursing facilities. Stay informed and ready!
New Proposed Regulations for Medicare Advantage Modernization
Discover the new CMS proposed regulations for Medicare Advantage and Part D aimed at modernization by 2027, impacting quality measures and beneficiary protections.
Medicare Advantage OTC Benefits Underused Amid Plan Reductions and Inflation
Medicare Advantage OTC benefits provide seniors with vital health product allowances, but utilization is low due to awareness and complexity. Plan reductions and inflation heighten the importance of optimizing these benefits.