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

Medicare Advantage prior authorization (PA) is the process you go through to get certain services and drugs approved before ...

to expand Medicare and Medicaid to include FDA-approved anti-obesity medications. The letters are being led by the Health Equity Coalition for Chronic Disease (HECCD) and they say the change would ...

CMS has withdrawn its appeal of a judge's decision directing the agency to increase UnitedHealthcare's star ratings for its Medicare Advantage plans for 2025. Attorneys for the agency filed a notice ...

[How and Why to File a Medicare Appeal] Does Medicare cover emergency ... Aetna and Humana. For example, “Plan G functions the same way on all carriers,” Toneatti explains.

One glaring example is Tony Shidid ... and Human Services Commission to implement Summer EBT by March 1. Send a letter to your state senator and representative urging them to support this vital ...

(Bloomberg) -- US officials dropped their appeal of a UnitedHealth Group Inc. lawsuit challenging the federal Medicare program’s quality ratings, a potential boon for insurers protesting the ...