The majority of the nation's health insurance markets remain highly concentrated, but one segment of the industry in particular continues to grow more competitive—Medicare Advantage. The Medicare ...

New findings reflect the differences in negotiating dynamics and financial incentives in the two markets. Hospital prices for commercial health plans are, on average, two to three times higher than ...

Administrative costs now account for more than 40% of hospitals’ total expenses for delivering patient care, with a significant portion driven by the rising number of care denials stemming from the ...

Medicare Advantage insurers fully or partially denied 7.4% of prior authorization requests in 2022, an increase compared to the previous three years, according to an analysis by health policy research ...

Prior authorization denials in Medicare Advantage (MA) jumped between 2021 and 2022, according to a new analysis from KFF. Researchers dived into data from the Centers for Medicare & Medicaid Services ...

Commercial insurers pay hospitals much more than Medicare in some areas than others, and a new study found that local market factors, including hospital dominance, help explain these growing price ...

John Oliver recruited real-life couple Megan Mullally and Nick Offerman to help him create a new commercial this week, this time giving viewers a more honest look at Medicare advantage plans. The HBO ...

As major contract talks continue between UnitedHealthcare and WakeMed, one plan has expired — leaving some North Carolinians ...