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.
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.
Impact of ACA Subsidy Vote on Health Insurance Premiums
Explore the potential impact of the ACA subsidy vote on health insurance premiums and its significance for industry stakeholders. Stay informed on key regulations!
Senators Propose Legislation to Block AI Prior Authorization Pilot in Traditional Medicare
Senators introduce bill to stop AI-driven prior authorization pilot program in Traditional Medicare, citing risks to seniors' access to care and provider burden. Legislative effort targets CMS's WISeR model set for 2026 rollout.
True Heart Insurance Supports Medicare Advantage Enrollment in Greenville, SC
True Heart Insurance in Greenville, SC specializes in guiding Medicare-eligible clients through Medicare Advantage enrollment, providing tailored, stable health coverage solutions and bilingual support.
ASC Reimbursements and Strategic Pressures Shape 2026 Outlook
In 2026, Ambulatory Surgery Centers face reimbursement challenges amid inflation and rising procedure complexity. Strategic cost management and payer negotiations are key focus areas.
CMS Payment Methodology Inflates Medicare Part B Costs for Stelara Biosimilars
CMS's current inclusion of noncovered self-administered drug prices in Medicare Part B payment calculations inflates costs for Stelara biosimilars. OIG recommends revising pricing methodology to achieve savings.