Medicare Fraud Prevention Week Emphasizes Beneficiary Vigilance
Medicare Fraud Prevention Week spotlights methods to reduce Medicare fraud and errors, with tips from the Senior Medicare Patrol to help beneficiaries monitor their claims effectively.
Major U.S. Insurers Commit to Streamlining Prior Authorization by 2027
Top U.S. insurers including Blue Cross Blue Shield, Humana, Cigna, and UnitedHealthCare pledge to streamline prior authorization by 2027, improving patient access and reducing provider burden.
US Health Insurers Pledge to Simplify Prior Authorization by 2027
Major US health insurers commit to streamlining prior authorization to speed medical approvals and reduce patient/provider friction by 2027.
U.S. Tariffs on Medical Imports Prompt Health Plan Premium Increases for 2025
Tariffs on medical imports have led U.S. health plans to plan premium increases for 2025 due to rising drug and device costs, impacting payer pricing strategies and market outlooks.
CMS Finalizes Rule Targeting ACA Enrollment Fraud, Aims to Lower Premiums
CMS finalizes new rule to reduce ACA improper enrollments, aiming to lower premiums and save taxpayers billions by 2026, while raising concerns over coverage losses.
Public Opinion Divides on Congressional Health Care Bill Impacting Medicaid and ACA
Public opinion is sharply divided on the Congressional health care bill proposing Medicaid spending cuts and ACA changes amid rising favorability for both programs.
HealthEdge 2025 Report: Consumers View Health Insurance More as Partner than Payer
HealthEdge's 2025 Healthcare Consumer Report shows 51% of consumers now see health insurance as a partner in care, highlighting digital engagement and AI adoption challenges.
Massachusetts Seeks Insurance Coverage for Mobile Integrated Health Programs
Massachusetts proposes legislation mandating insurance coverage for mobile integrated health programs, aiming to expand EMS roles and reduce hospital visits, amid insurer reimbursement concerns.
Sensitive Health Data Shared by State Health Exchanges with Google, LinkedIn, Snapchat
Several U.S. state health exchanges under the ACA shared sensitive personal health data with third-party platforms like Google, LinkedIn, and Snapchat, raising privacy and compliance concerns.
Boone Health Extends 4-Year Contract with Anthem Blue Cross Blue Shield in Missouri
Boone Health signs a 4-year contract extension with Anthem Blue Cross Blue Shield in Missouri, securing network access for members. MU Health Care remains out of network after contract talks stall.