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 ...

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

Resilience Healthcare acquired both hospitals out of bankruptcy in 2022. Both facilities depend on Medicare or Medicaid to ...

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

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

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

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

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

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

Insurers are planning to scale back benefits, trim plans and exit from markets. Investors are cheering.

With major changes expected for Medicaid in 2026, is Medicare also changing? It's a question many may be asking, as confusion around both Government funded healthcare programs swirl.