Prior authorizations are the way MA managed care plans pre-approve some procedures before they’ll pay for them.

Medicare beneficiaries often pay monthly premiums, copays, annual deductibles and prescription drug costs. But what you may ...

Elon Musk's DOGE is reviewing Medicare and Medicaid for waste and fraud, gaining access to key HHS data systems. Follow ...

Arizona's Medicaid program is called the Arizona Health Care Cost Containment System, or AHCCCS (pronounced "access"). It is ...

Pharmaceutical manufacturers may need new models to maintain sustainable businesses and support patients who cannot afford ...

Declining enrollment, fewer plan offerings, and persistently higher premiums are raising concerns about the stability and ...

The city’s new police union contract will be up for a final vote on Feb. 18, a necessary but largely procedural step to finalize a deal that's been in effect for months.

The Trump administration’s Centers for Medicare & Medicaid Services (CMS) has signaled that it will be revamping the process ...

Kennedy struggled to identify and explain the fundamental aspects of Medicare, which provides coverage to older and disabled ...

Senator Bill Cassidy, a physician and key G.O.P. vote, joined Democrats in aggressively questioning Robert F. Kennedy Jr., ...

President Donald Trump's nominee for HHS Secretary, RFK Jr., navigated questions on abortion, vaccines, and social welfare as he hopes to secure Senate support.

More than 65 million Americans rely on the program for their health insurance, with a significant proportion of those being seniors facing retirement.