News
Small businesses feel the squeeze as healthcare costs rise: Morgan Health
2+ day, 10+ hour ago (641+ words) As healthcare costs continue to rise, smaller businesses are particularly vulnerable to the pressure, according to a new Morgan Health report. For example, among employers with 50 or fewer employees, 30% said that healthcare costs are worsening their business situation, compared to…...
United Healthcare to nix nearly two thirds of pediatric prior auths
1+ week, 1+ day ago (319+ words) United Healthcare is set to eliminate close to two-thirds of pediatric prior authorization requirements by the end of the year. The insurance giant announced Friday morning that it will nix prior auth on an array of diagnostic tests, routine surgeries…...
Epic, Oracle and Cleveland Clinic among 20 companies to join CMS prior authorization initiative
3+ week, 2+ day ago (375+ words) A slew of provider and tech organizations have signed on to the Centers for Medicare and Medicaid Services" push for the healthcare industry to streamline prior authorization, a transition the agency said will smooth out the bumps of a widely…...
New payer-backed ad campaign pushes for No Surprises Act IDR reform
3+ week, 3+ day ago (428+ words) A new ad campaign takes aim at the "misaligned incentives" in the No Surprises Act arbitration process, arguing they "create a "fox guarding the hen house" dynamic." The seven-figure campaign from the Coalition Against Surprise Medical Billing, called "Judge Fox,…...
Kaiser Permanente's investments pick up the slack as Q1 operating margin slims to 2. 1%
3+ week, 5+ day ago (532+ words) Kaiser Permanente's first-quarter operating performance took a step back in 2026 compared to the year prior, though investments and other sources of income picked up the slack to push the large integrated nonprofit's bottom line past $2 billion." The system reported operating…...
Conservative think tank Paragon Health calls its shots on hospital policy reform
1+ mon, 2+ week ago (487+ words) A conservative think tank with proven sway over federal health policy has a new report out undercutting the hospital industry's claims of sweeping financial distress and broadly calling for rollbacks of favorable payment rates and subsidies it says have fueled…...
Medical professional liability premiums rise for 7th straight year
1+ mon, 1+ week ago (496+ words) Physicians" medical liability insurance premiums rose for the seventh consecutive year in 2025, a first for the field since 2005, and at the second-highest rate since that same year, according to a new American Medical Association analysis." Among responses to an annual…...
AHA: Hospitals' total expenses rose 7. 5% in 2025
2+ mon, 3+ week ago (24+ words) Increases in workforce, supply and drug spending joined volume jumps and greater acuity to grow 2025 spending, whereas pricing rose at a slower pace....
CMS delays Part D GLP-1 model amid skepticism from insurers
1+ mon, 2+ week ago (322+ words) The Trump administration is delaying a voluntary model that aimed to expand access to GLP-1s in Part D after pushback from insurers. The Centers for Medicare & Medicaid Services first announced the Better Approaches to Lifestyle and Nutrition for Comprehensive h…...
Oz previews new plan to push states toward revalidating Medicaid providers
1+ mon, 2+ week ago (365+ words) CMS Administrator Mehmet Oz, M. D. , on Tuesday previewed the agency's next steps in its effort to root out fraud, waste and abuse in Medicaid. The head of the Centers for Medicare & Medicaid Services said during a session at Politico's Health Care…...