A Medicare pilot program will allow private companies to use artificial intelligence to review older Americans' requests for ...

A new KFF analysis reveals that retrospective chart reviews are a primary driver of risk-adjusted payments for Medicare ...

The Trump administration proposes regulations stripping Medicare and Medicaid funding from hospitals providing ...

More than 50 major insurers have pledged to streamline prior authorization starting in 2026, but providers remain cautiously optimistic and skeptical that the changes will truly reduce burden or ...

I am a longtime reader of your columns. I am interested in vulnerabilities I may not see and any advice you may offer to ...

UnitedHealth controlled the largest market share in 44% of metro areas for Medicare Advantage, with Humana having the largest ...

U.S. News & World highlighted hospitals that provide high-quality care for expectant mothers and their babies.

Sonoma County pediatricians urged county leaders to do more to address the impact of Providence closing its pediatric ward at Santa Rosa Memorial Hospital, leaving local families with fewer ...

Pediatricians and legal experts in Washington expressed outrage at Trump administration proposals to effectively ban ...

A new commission of health care leaders tasked with setting a new course for Medi-Cal as budget woes and coverage pressures mount statewide.

While Bay Area families said Sutter Health reversed course on halting gender-affirming care for minors, the Trump ...

A year ago, the killing of a health insurance executive on a Manhattan sidewalk unleashed many Americans’ pent-up frustration with insurers’ delays and denials of care.