OIG: 3 Largest MA Insurers Deny Prior Auth Requests at High Rates for Long-Term Acute Care, Inpatient Rehab
A brand new report from the Workplace of Inspector Common revealed that the three largest Medicare Benefit insurers denied prior ...
Tag: Insurers
New Medicare Advantage proposal would create $13B windfall for insurers
Bob Herman covers health insurance, government programs, hospitals, physicians, and other providers — reporting on how money influences those businesses ...
Why Insurers Need to Lead in the Shift to Healthcare Consumerism
Healthcare consumerism is the idea that individuals are empowered to make informed choices about their care and coverage. It is ...
Health insurers’ associations says member plans will still cover vaccines
Amid growing concern about Americans’ access to vaccines, the country’s biggest health insurance association said its member plans will continue ...
In health insurers’ race to offload unprofitable members, winners emerge
Tara Bannow covers hospitals, providers, and insurers. You can reach Tara on Signal at tarabannow.70.If you’ve followed health insurance earnings ...
Why Several Insurers Are Cutting/Withdrawing Their Earnings Guidance
Insurance companies are having a rough go of it recently. Numerous companies this month have announced that they are withdrawing ...
ACA Marketplace Insurers Proposing 15% Median Premium Increase in 2026
ACA Marketplace insurers are proposing the largest premium hikes since 2018, with a median 15% increase projected for 2026, according ...
Health insurers’ prior authorization promise: Will it help? | STAT
Tara Bannow covers hospitals, providers, and insurers. You can reach Tara on Signal at tarabannow.70.WASHINGTON — Last week’s pledge from ...
DOJ Sues MA Insurers, Brokers Over Alleged Kickbacks
The U.S. Department of Justice (DOJ) filed a complaint on Thursday against three Medicare Advantage insurers and three insurance broker ...
Q&A: J.D. Power study spotlights the state of health insurers’ digital experience
Data from the J.D. Power 2025 U.S. Healthcare Digital Experience Study revealed that health insurance members enrolled in health plans ...
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