UnitedHealthcare is ramping up a prior authorization policy intended to shift outpatient surgeries to lower-cost settings outside of the hospital, a move that could put a dent in hospital revenue.

Amazon is partnering with Duarte, Calif.-based cancer treatment center City of Hope to offer its workers an array of cancer support services, including treatment reviews and emotional support.

Oscar challenged Blue Cross and Blue Shield of Florida's policy of prohibiting its brokers from selling other insurers' plans. But a federal judge threw out the lawsuit.

Cambia Health Solutions and Blue Cross and Blue Shield of North Carolina officially called off their proposed affiliation days after the North Carolina insurer's former CEO was found guilty of charges connected to a June car accident.

California's governor signed into law a bill that limits the reimbursement dialysis companies receive for kidney disease patients who get insurance premium assistance from third-party organizations.

Patients with chronic obstructive pulmonary disease who were enrolled in private high-deductible health plans more frequently reported putting off or skipping care and ending up in the hospital, according to a new study.

Colorado regulators unveiled a draft proposal of a public insurance option that they say could reduce residents' average monthly premiums, largely by paying hospitals less.

President Donald Trump directed HHS to encourage Medicare Advantage plans to offer innovative plan designs and benefits, including telehealth services and supplemental benefits.

The prior authorization process for drugs has been automated much more than it has been for medical services.

Solving the problems related to prior authorization of medical procedures will be neither simple nor easy, but the ball has started to roll.

Several health plans are touting new benefits for seniors that go well beyond the traditional gym membership or prescription eyeglasses, after holding back on supplemental benefits in 2019.

President Donald Trump directed HHS to encourage Medicare Advantage plans to offer innovative plan designs and benefits, including telehealth services and supplemental benefits.

Hospitals and health insurers may not see eye to eye on a lot, but they agree that the federal government's proposal to make hospitals publicly post payer-negotiated rates for medical services would be bad for business and patients.

Blue Cross and Blue Shield of North Carolina's CEO Dr. Patrick Conway resigned his position after facing mounting criticism over his arrest in an alcohol-related car accident.

While premiums in the Affordable Care Act marketplaces appear to have leveled out after several years of sharp increases, the cost of employer-sponsored insurance continues to climb.