Under new federal law, states must verify millions of enrollees’ employment status. Some officials are worried about the ...

If she opens her mouth too wide, she worries, people will see her chipped, plaque-covered front teeth. An immigrant without legal status, Maria doesn’t have health or dental insurance. When her teeth ...

At a Ways and Means Health Subcommittee hearing, Rep. Van Duyne emphasized the need to modernize Medicare Advantage, especially regarding delays from prior authorization. She backed bipartisan reforms ...

On July 15, 2025, the Centers for Medicare & Medicaid Services (CMS) released the CY 2026 Outpatient Prospective Payment System (OPPS) proposed ...

During a Tuesday hearing, Republican legislators appeared open to changing the privatized Medicare program — once a GOP ...

While there has been plenty of encouraging news in recent weeks for ASCs related to reimbursement rates, prior authorization reform and certificate-of-need regulations, a number of issues still weigh ...

At a subcommittee hearing, lawmakers expressed a willingness to legislate prior authorization and "upcoding" practices used by insurers. It's not clear when they might take action in light of a packed ...