The HHS Office of Inspector General identifies $17 billion in potential cost savings by improving program efficiency and compliance in healthcare programs.

Rep. Spartz introduces the SMART Health Care Act to reduce Medicare and Medicaid waste, address hospital overbilling, enhance rural healthcare access, and reform the 340B drug program.

Health insurance coverage for prescription medications declined with increased restrictions in 2025, impacted by pharmacy benefit manager policies and limited regulations.

Mark Farrah Associates upgrades County Health Coverage™ with enhanced county-level health insurance market share data and a user-friendly interface for improved market analysis.

An in-depth review of President Trump’s FY26 budget proposal highlighting significant cuts across health, education, public safety, environment, economic development, and scientific research programs relevant to the U.S. insurance and public sectors.

CMS's GUIDE Model is reshaping Medicare dementia care with home-based solutions, virtual nursing, and new respite care reimbursements to improve patient outcomes and reduce costs.

Explore Humana's detailed prior authorization requirements for medical services and medications, including timelines, appeal rights, and Medicare member guidance for coverage approvals.

New Medicare Part D rules in 2025 cap oral cancer drug costs at $2,000 annually and introduce a voluntary monthly payment plan to improve affordability for patients.

California court certifies class in lawsuit against insurers for failing to offer lowest rates to good drivers, involving National General subsidiaries and over 900,000 consumers.

Explore how a family manages insurance claims and multi-generational living after a devastating home fire, highlighting insurance processes and family support in disaster recovery.