The changes to prior authorization will be phased in over the next year and a half, the companies said. In all, insurers said the changes would apply to 257 million Americans covered by private ...

More than 70 million Americans are enrolled in the program, which could be facing its biggest overhaul in decades.

Sharp Medicaid cuts could result in vulnerable Americans no longer being able to receive care, either by losing coverage or by closing the centers that provide such care.

The U.S. government said it has busted the largest health care fraud scheme in history, which targeted Medicare and involved ...

Some states used Medicaid funding mechanisms to plug holes created by Medicare funding flaws and insurer payment denials.

Patients addicted to opioids receive less mental health care if they are only covered by public insurance, compared with patients receiving care through alternate funding, according to a recent study ...

A new report from federal actuaries estimates that national health spending will increase by 7.1% in 2025, with spending ...

The Centers for Medicare & Medicaid Services (CMS) rolled out an Innovation Center model Friday to test new prior ...

Scott says his proposal to slash $313 billion more from Medicaid in Trump’s Big Beautiful Bill will protect the program “for those who truly need it.” ...

The Centers for Medicare & Medicaid Services (CMS) has announced the launch of the Wasteful and Inappropriate Service ...

The bulk of the estimated reductions in health spending come from Medicaid, which will lose more than $1 trillion. Of the ...

As public health insurance in the United States faces potential cuts, a Rutgers University review of medical records finds ...