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Families Scramble to Pay Five-Figure Bills as Clock Ticks on Promised Preauthorization Reforms
Each year millions of patients continue to face denials through the prior authorization process.
Medicare Advantage 'Dark Money' Group Attempts to Win Higher Payments for Insurance Companies
The group does not reveal its funders or much else ? other than to say it is 'dedicated to protecting...

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HL Shorts: Challenges to Automation in Prior Authorization Processes
While The CMS Interoperability and Prior Authorization Final Rule promises to streamline prior authorizations and increase payer accountability, will providers...
FL Hasn't Expanded Medicaid. Lawmakers Want to Add Work Requirements Anyway.
In states that have long refused to expand Medicaid to more low-income adults, people in the program aren't subject to...
More Kids Are in ERs for Tooth Pain. Trump Cuts and RFK Jr.'s Anti-Fluoride Fight Aren't Helping.
ER visits for tooth problems rose almost 60% nationally for children under 15 years old from 2019 to 2022.
cfo-healthcare-finance
6 Leadership Lessons From CEO Sachin Jain
SCAN Health Plan CEO Sachin Jain shares his top resolutions for healthcare leaders in 2026.
Even Patients Are Shocked by the Prices Their Insurers Will Pay — And It Costs All of Us
What is a reasonable price for any health care visit or procedure, and how is it determined?
IA Senate committee approves one-time tax increase on certain health insurance plans
The Iowa Senate Ways and Means Committee advanced a measure this week that would impose a one-time tax increase of...
Health insurance costs spark interest in religious cost-shares
Enrollment in religious, cost-share ministries is on the rise. The groups, which are typically backed by small Mennonite churches, pool...
One-in-three Americans are skipping meals or cutting back on utilities to afford healthcare
Forgoing food. Cutting back on utilities. Driving less. Borrowing money. These are the sacrifices that tens of millions of people...
Medicare Advantage overpayments to hit $76B this year
This year, the federal government is expected to pay 14% more to cover people in a Medicare Advantage plan than...
Jersey City officials call on Gov. Sherrill to save Heights University Hospital from closing
Jersey City Mayor James Solomon was outside Heights University Hospital on Thursday, pushing to save the facility from closing. Hospital...
Costs of caring challenges facing U.S. hospitals as they care for patients in 2026
Hospitals continue to face broad-based expense growth driven by a combination of workforce pressures, higher input costs ? especially for...
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