Hospitals and healthcare providers are adopting AI-powered eligibility verification systems to reduce Medicare claim denials and improve revenue cycle performance. Tools like Experian’s Patient Access ...

Prior authorization and claims management remain some of the biggest bottlenecks in healthcare, delaying care and straining provider resources. With new CMS initiatives, payer technology upgrades, and ...

Javascript must be enabled to use this site. Please enable Javascript in your browser and try again. See a full list of benefits and explore all that AARP membership ...

The Centers for Medicare & Medicaid Services has begun collecting private payor rate data through its Fee-for-Service Data ...

Starting May 1, many people covered by Medicaid in Nebraska have to prove they are working. It's a requirement most states ...

When CMS announced its proposed quality measures for Medicaid home- and community-based services (HCBS) for 2028, I was a ...

Colo., today introduced the Rural Community Hospital Demonstration Reauthorization Act, legislation that would grant a ...

The Centers for Medicare and Medicaid Services is extending the application deadline for drug manufacturers to apply to the ...

Objective: To examine the association between a health insurance plan offering a grocery assistance benefit to members with ...

SAN ANTONIO — The federal government is set to terminate Medicare and Medicaid funding for Laurel Ridge Treatment Center, where three patients died in 2025 and others were placed in “immediate ...

Potential $3.1 billion in cuts could destabilize health care services and local economies across Minnesota, according to the Minnesota Department of Human Services. The impact of federal healthcare ...

The OBBBA’s community engagement requirements will have a significant impact on the eligibility determination process. So will Constitutional due process safeguards. For over a half century, the US ...