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

"We are taking a thoughtful approach to see where there may be opportunities for more effective and efficient use of ...

Elon Musk’s allies have been on site at Centers for Medicare and Medicaid Services offices this week.

Representatives of Elon Musk's new federal agency have access to payments and contracting information from the Centers for ...

It was unclear which systems DOGE had access to and whether any sensitive medical information was part of the efforts.

Privatized Medicare Advantage plans overbill the U.S. federal government by up to $140 billion per year as they make patients ...

Medicare Advantage plans are popular, but some have limited provider networks, while and others require high cost sharing for ...

President Donald Trump was handed an opportunity to "save" Medicare Advantage after the Biden administration's final proposal ...

Understanding the reasoning and process of Medicare Advantage prior authorization can help you gain faster approval for a required prior authorization.

There are certain audiology services that Medicare covers. These services include hearing and balance exams. Medicare also covers seeing an audiologist every 12 months without a referral from your ...

The billionaire said his Department of Government Efficiency will make 'rapid safety upgrades' to our air traffic control ...