Prior authorization is a key tool for ensuring high-quality patient care, but it needs to be refined, Humana CEO Jim Rechtin ...

This was not a decision we made lightly,” Dr. Cantor said. “The frequent denials and associated delays negatively impact our ...

Experts are warning that Medicare beneficiaries could experience shock next month as they receive their annual notice of ...

Although the clinic accepts primary Medicare and Medicaid, that still isn’t enough. “When we aren’t credentialed with ...

For years, health insurers battled to gain market share in the lucrative privatized Medicare program. Now, the opposite is ...

Doeh’s marching orders are to secure a lucrative government contract for Humana (NYSE: HUM) when the state of Michigan ...

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A SoonerSelect patient says he is unable to visit doctors or pick up prescriptions after his date-of-birth somehow got ...

The Kamala Harris-Donald Trump debate is making waves in the health sector as shares of big insurers including Humana and UnitedHealth Group fell Wednesday. Investors feel less optimistic about the Me ...

Duluth-based health system cited high rates of claim denials and delayed payments as the reason for exiting the plans.

Essentia Health is dropping in-network coverage for 20,000 patients who have Medicare Advantage plans through ...

AHF’s arbitration filing comes on heels of a blistering July 2024 FTC report documenting how powerful pharmacy benefit managers like Humana’s squeeze Main Street, mom-and-pop, and other independent ...