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

The massive insurer now expects to lose 550,000 Medicare Advantage members — roughly one-tenth its individual MA footprint — ...

“We can point to situations where prior authorization has literally saved lives. There are good docs and there are bad docs ...

Democrats Are Pushing for Government-Run Healthcare. The Time to Begin Fighting It Is Now. Democrats are capitalizing on the ...

The most powerful lobbyists in America include the U.S. Chamber of Commerce, National Association of Realtors, and more.

With the market stacking two back-to-back years of ~25% returns, we thought this would be a good time to remind investors that they shouldn’t expect these types of returns forever.

Across healthcare system, stakeholders share blame for high costs. This includes hospitals, drugmakers, insurers and others ...

Polls showed public sympathy for Brian Thompson's killer, Luigi Mangione, but the healthcare system's problems are ...

Bill Ackman shared choice comments on UnitedHealth Group on his social media account before deleting his posts. Here's a look ...

UnitedHealthcare CEO Brian Thompson was killed with ammo that had those three words written on it. The mural is in ...

These developments underscore a tumultuous period for UnitedHealth Group and Optum, as they navigate cybersecurity threats, ...

Dr. Tatiana Bailey reflects on the challenges of the U.S. healthcare system, rising costs, moral hazards, and the public's ...