In 2023, insurers selling plans on the marketplaces created under the Affordable Care Act denied a combined average of 20% of ...

Because the Centers for Medicare & Medicaid Services (CMS) pays MA plans more for patients who are higher risk, having more diagnoses per patient increases payments. In contrast, traditional Medicare, ...

Presently tied up in Senate confirmation hearings, Mehmet Cengiz Oz, the Oprah Winfrey–certified wellness advocate known as ...

Health insurance companies are under increasing scrutiny for allegedly using artificial intelligence bots and algorithms to swiftly deny patients routine or lifesaving care, without a human reviewing ...

Kentucky health advocates ask GOP lawmakers to reconsider changes to Medicaid in bill vetoed by Democratic Gov. Andy Beshear.

While the governor’s bill to repeal the Certificate of Need process died in February, some delegates are making a stab at ...