Elon Musk's DOGE is reviewing Medicare and Medicaid for waste and fraud, gaining access to key HHS data systems. Follow ...

Prior authorizations are the way MA managed care plans pre-approve some procedures before they’ll pay for them.

Key TakeawaysA handful of health care stocks rose Monday after President Trump said his administration is "not going to do ...

Molina Healthcare CEO Joseph Zubretsky downplayed GOP proposals to slash spending on Medicaid, which accounts for about 80% ...

Trump has pledged to protect Social Security and Medicare throughout his campaign, one analyst noted, but this was the first ...

Given the prevalence of managed care, it’s incumbent upon the industry to ensure that there is a robust supplier pool.

Robert F. Kennedy Jr. incorrectly said that Medicaid was fully funded by the federal government and that Medicare is a ...

Centene reported $3.3 billion in 2024 profits as Obamacare enrollment and premium revenue helped overcome a dip in Medicaid ...

The difficulty that stakeholders face in comparing contracts with different structures could be solved by a standardized pricing methodology across payers.

A key federal funding commitment has been renewed that's at the heart of making possible North Carolina's ground-breaking ...

UnitedHealth (UNH) stock in focus as Medicare withdraws appeal over an unfavorable ruling related to the company's 2025-Star ...