The president posted talking points provided by one firm that donated millions, and his administration delayed a change on ...

The procedures will be reviewed by AI for coverage determinations, although final decisions will be made by people. The companies contracting to do the review process will receive payments when they ...

The Centers for Medicare & Medicaid Services (CMS) will use AI to help make prior authorization decisions via the new Wasteful and Inappropriate Service Reduction (WISeR) Model, but the final decision ...

Weiss Memorial Hospital will be kicked off Medicare and Medicaid programs, and a report suggests it could face closure when ...

UnitedHealthcare says it plans to drop Medicare Advantage plans that currently serve over 600,000 users, becoming the latest ...

Medicare beneficiaries would receive a no-cost falls risk assessment from a physical or occupational therapist under a new bill.

Resilience Healthcare acquired both Weiss and West Suburban Medical Center out of bankruptcy in 2022. Both facilities depend ...

The emergency room and other facilities closed as of 7 a.m. Friday, emergency room registered nurse Daniel Maser said.

Insurers plan to keep sacrificing MA growth for profitability next year, after second quarter results for Humana and CVS ...

Click in for more news from The Hill{beacon} Health Care Health Care   The Big Story Pharma industry loses on Medicare price ...

Federal judges in Texas and Connecticut on Thursday ruled against arguments challenging the constitutionality of the Medicare ...

Kentucky's population has grown while the number of practicing physicians has decreased. Declining Medicare reimbursements are forcing doctors to retire, relocate or sell their practices to hospitals.