CMS administrator touts insurance industry push for prior authorization reform
Dr. Mehmet Oz, administrator for the Centers for Medicare and Medicaid Services, said during a press conference on Monday that…
Additional 55 rural hospitals at risk of closure should Medicaid cuts pass
Rural hospitals will have to scale back services or close altogether should the Senate pass President Donald Trump’s Big Beautiful…
Medicare, Medicaid and where the country is headed
Ultimately the question is not one of spending, but how we allocate care for ourselves and in this world, data…
CMS final rule cracks down on improper ACA enrollments
The Centers for Medicare and Medicaid Services issued a final rule on Friday intended to crack down on what it calls improper…
Health plans make commitment to streamline prior authorization
Health insurers, including Humana, Elevance and CVS Health, have committed to a number of actions meant to simplify and reduce…
Virtual reality is ‘changing the face of healthcare’
Dr. Sarah Hoffe, interim chair of GI oncology at Moffitt Cancer Center, says she saw it change a 68-year old…
UnitedHealth launches tech-enabled personalized provider search
UnitedHealthcare has launched a tech-enabled Smart Choice to enhance provider searches for its members. The technology finds a provider based…
Hospitals are dealing with a price cap in Indiana
The penalty for non-compliance is the loss of tax-exempt status for a not-for-profit hospital for a year, says Hal Andrews,…
The biggest part of innovation is surprisingly not AI
The main theme of a HIMSS25 panel was not around tech, but was about the culture of innovation making the…
Humana plans to reach 4-star Medicare Advantage ratings in 2028
Humana plans to achieve 4 stars in its Medicare Advantage star rating in 2028, according to information released during its…