Medicare patients in half a dozen states will have some of their health claims automatically reviewed by AI models.

A new report says the federal government will spend more than $1.3 trillion over the next decade on Medicare Advantage that ...

Democrat lawmakers have raised concerns that prior authorization practices could "limit access to life-saving care." ...

The Centers for Medicare and Medicaid Services (CMS) recently announced the launch of a program that will require individuals ...

UCare currently has 158,000 Medicare Advantage members and is the second-largest Medicare Advantage carrier in the market.

A pilot program in six states will use a tactic employed by private insurers that has been heavily criticized for delaying ...

A new pilot program from CMS will require prior authorization, or pre-approval, from insurers for certain medical procedures.

UCare, one of the largest providers of privatized Medicare in Minnesota, is trimming its workforce and will not offer Medicare Advantage health plans used by thousands of Minnesota seniors in 2026 as ...

If you choose a Medicare Advantage plan, make sure that the plan has Part D prescription drug coverage; otherwise you will ...

Elevance Health's shares took a dip on Thursday as the company reaffirmed its outlook for 2025 and revealed plans to exit ...

Prior authorization requirements have been criticized for creating red tape, delaying care and denying services that should have been covered.

ACOs are also improving in quality, according to the CMS data. Still, the Medicare Shared Savings Program has struggled with ...