On May 1, the state will become the first to require people on the government health program to fulfill a work requirement or ...

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 ...

Your insurer is betting you won't appeal - but research shows 1 million denials could have been overturned if patients pushed back In an analysis of six Medicare Advantage plans covering more than 23 ...

Katie Crouch says calling her state's Medicaid agency to get information about her benefits can feel like a series of dead ends. "The first time, it'll ring interminably. Next time, it'll go to a ...

Doula care around pregnancy and childbirth was once considered to be something accessible only to those with substantial ...

With major changes coming to the country’s social safety net system, Colorado counties are bracing for heavier caseloads and federal funding cuts. Under the sprawling tax and spending law passed last ...

Prior authorization forces doctors to spend 13 hours a week fighting insurers. New federal rules are changing that. Here's what you need to know.

CMS recently announced it is developing a suite of resources to support states in implementing the Medicaid work requirement (which takes effect in most states in January 2027), including technical ...

“Patients shouldn't have to wait for approval to start medication their doctor prescribed,” said CMS Administrator Dr. Mehmet ...

The introduction of artificial intelligence into the medical world is triggering questions about the promise and pitfalls the ...

Being stuck in a bureaucratic morass is frustrating and time-consuming; known as administrative burden, this phenomenon is ...