Nona Tepper

Healthcare providers say insurance companies are innovating new ways to make it harder to get paid. You must be a subscriber to access this content.

The Centers for Medicare and Medicaid Services has appealed a federal judge's order to recalculate UnitedHealthcare's Medicare Advantage Star Ratings.

The Centers for Medicare and Medicaid Services reversed course Friday on a plan to appeal UnitedHealthcare's Medicare Advantage star ratings win.

Blue Cross and Blue Shield of Alabama, UnitedHealthcare, Health Care Service Corp. and Molina Healthcare denied more than one-quarter of in-network

Aetna, Centene and Kaiser Permanente denied at least one in 10 Medicare Advantage prior authorization requests in 2023, according to a KFF analysis published Tuesday.

Promising signs for "public option" health plans sold on state health insurance exchanges spell bad news for providers, who say they're squeezed by low reimbursements.

A big-business coalition is using hospital, insurer and employer healthcare cost information to help companies negotiate the price of services and coverage for employees.

The Cigna Group will spend up to $150 million to reform its prior authorization, patient advocacy and provider services this year, CEO David Cordani said Thursday.

Molina Healthcare said Monday it closed its purchase of ConnectiCare.