The Trump administration has established a pilot program to expand prior authorization requirements within traditional Medicare, one of the most significant shifts in how the system processes medical ...

Thousands of seniors could be kicked off Medicare Advantage health care plans as insurance carriers consider downsizing.

As major insurers reduce Medicare Advantage benefits and exit markets, retirees face higher costs and limited options. Advisors need to understand the implications for retirement planning.

Duke Health is suggesting it could soon drop Aetna from its list of in-network providers, saying the insurance company is unwilling to pay enough for the growing cost of health procedures. The ...

CMS proposed a 2.4% Medicare payment increase for hospitals’ outpatient departments and ambulatory surgery centers in 2026, along with a new two-tiered physician reimbursement structure based on ...

Groups for dentists and groups for dental plans are clashing over the future of dental services provider network leasing rules.

Vermont’s home health providers are bracing for what might be among the largest cuts to Medicare payments.

CMS should provide stable year-over-year funding to Medicare Advantage for supplemental benefits and incentivize MA plans to offer the supplemental benefits—including dental--with proven ...