Groups representing insurers are pushing back on proposed tighter regulations on Medicare Advantage coding. Senate Republicans are considering targeted changes to Medicare Advantage as part of the ...

Seven payers have been included in Points of Light’s 13th annual “Civic 50 honorees,” a national standard for corporate citizenship and how companies use their time, skills and resources to drive ...

AI, digital health and value-based care are among the biggest buzzwords in healthcare — and might be overhyped, according to these payer executives. Becker’s connected with 11 leaders to learn what’s ...

Federal lawmakers have reintroduced the “Improving Seniors’ Timely Access to Care Act,” a bipartisan bill that aims to streamline the prior authorization process for Medicare Advantage enrollees. The ...

Medicare could face nearly $500 billion in cuts over the next decade under Republicans’ “One Big Beautiful Bill Act,” which also proposes significant reductions to Medicaid and other healthcare ...

Elevance Health’s Carelon is ceasing operations in Ireland and will lay off 300 employees in Limerick, the Irish Times reported May 28. “After carefully considering alternatives and conducting a ...

In my experience as a physician and healthcare leader, I’ve often encountered people whose needs fall outside the scope of our healthcare system. Frankly, for many years, while I understood the ...