Cross-state health plans have not been successfully used in any of the six states where interstate insurance laws have been enacted, according to the National Conference of State Legislatures. The ...

Health insurance companies and states will have to resolve prior authorization requests more quickly under a final rule the Centers for Medicare and Medicaid Services published Wednesday. Insurers in ...

States and health insurers received new guidance from the Centers for Medicare & Medicaid Services (CMS) May 2 on how to prepare should Congress fund cost-sharing reduction (CSR) payments or extend ...

CMS is soliciting advice on how it can allow insurers to sell coverage across state lines, specifically through Section 1333 of the Affordable Care Act. The provision introduced "healthcare choice ...

Medicare Part D premiums will increase next year, the Centers for Medicare & Medicaid Services (CMS) announced as the agency adjusts a Biden-era program. The base premium will be $38.99, up from ...

Until last week, the system that is used to enroll people in federal Affordable Care Act insurance plans inadvertently allowed access by insurance brokers to consumers' full Social Security numbers, ...

The Centers for Medicare and Medicaid Services has issued a final rule that promotes the adoption of insurance plan benefit design for insurers to offer lower premiums. The final Notice of Benefit and ...

The Centers for Medicare and Medicaid Services is using algorithms that “seem to go after good agents who are minority agents and, therefore their minority communities,” the CEO of a health insurance ...

CMS directive highlights the need for transparency and accountability in AI and algorithmic usage in coverage determinations, responding to concerns raised by House of Representatives members ...

This year's open enrollment may be mostly over. But for 2016 and beyond, insurers should prepare for evolving regulations on everything from premium increases to drug formularies. The next iteration ...

The government is offering some ideas to try to fix the Affordable Care Act, the healthcare law known as Obamacare, amid a series of missteps that have befallen President Barack Obama's signature ...

CHARLOTTE — When you think of high school football, you probably think of boys and tackle football. But recently, girls across the Charlotte area have gotten in on the action, playing flag football ...