The prior authorization bundles are for condition-specific procedures, Aetna said. Previously, providers had to submit two ...

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

The idea behind it seems reasonable: Insurers want to ensure treatments are medically necessary before they pay for them. But ...

Aetna provided an update on its efforts to streamline the healthcare experience on Thursday, one year to the day after the fatal shooting of UnitedHealth’ s top insurance executive sparked a wave of ...

The program will let AI review seniors’ requests for certain medical care — and will reward companies when they deny it.

The United States Senate just announced that it would be rejecting funding plans for the Affordable Care Act (ACA), which ...

Medicare telehealth options allow patients to access health care while still at home.

Botox first became a household name for its ability to turn back the clock on facial aging. However, if you are considering Botox for cosmetic reasons and expecting Medicare coverage, you' ...

Orthopedics is heading into a turbulent year as payment models shift, technology accelerates and care migrates outpatient. Five disruptions in particular are poised to reshape care delivery within the ...

Congress’ Medicare advisory committee has made it clear that much work still needs to be done to bring alignment to post-acute care regulatory and payment matters. Medicare Payment Advisory Commission ...

ASCs are being squeezed from all sides, with rising expenses and flat reimbursement making the traditional ASC value proposition more difficult to sustain. Leaders point to five major cost pressures ...

Halle Berry called out Gov. Gavin Newsom for vetoing a bill guaranteeing women access to menopause treatment. Earlier, the ...