Hospitals charged commercial insurers and employers rates 254% higher, on average, than what Medicare paid for the same services in 2022, according to a Rand Corp. report published May 13. The study ...

Employers and private healthcare insurers paid, on average, 254% of what Medicare would have paid for both inpatient and outpatient hospital services in 2022, according to a report published Monday by ...

Since 2021, health systems and insurers have been required to post pricing information for their 300 most common procedures as the government pushes to make healthcare prices more transparent. However ...

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 ...

Significant uptake of rituximab biosimilars in Medicare and Medicaid occurred within the first 4 years of marketing in the US. Objectives: This study evaluated the uptake and costs of 3 biosimilars ...

Medicare will lower the prices of 10 expensive prescription drugs by 2026, using new negotiation powers to cut out-of-pocket costs for Part D beneficiaries.

As Medicare Open Enrollment begins this week, new Biden administration data shows that seniors’ prescription drug costs have skyrocketed 31% since the Inflation Reduction Act’s passage in 2022. This ...

Democrats on a Senate subcommittee are accusing UnitedHealthcare Group of denying claims to a growing number of patients as it tried to leverage artificial intelligence to automate the process. In an ...