This article examines the PBM-related provisions in the 2026 Consolidated Appropriations Act in the context of other federal and state efforts to regulate PBMs, then offers recommendations on ...

Add Yahoo as a preferred source to see more of our stories on Google. BOSTON (SHNS) – State insurance regulators unveiled sweeping prior authorization reforms that would scrap pre-approval ...

Last summer, the Trump administration announced a voluntary pledge by health insurers to reform prior authorization, but patient advocates and medical providers remain skeptical.

House committee chairs have been holding brainstorming sessions as Republicans chart a path forward to address rising health care costs and propose an alternative to Affordable Care Act subsidies.

HHS proposed three new rules today related to the Patient Protection and Affordable Care Act, and the rules involved several major portions of the law, including essential health benefits, health ...

The health insurance industry has had a tough few years. But 2026 is poised to be a reset period, where efforts from insurers to stabilize their finances, operations and public images could start to ...

Even before the conflict over Obamacare subsidies that resulted in a month-and-a-half-long government shutdown, Democrats were already attacking Republicans over their reforms to the federal public ...

While no single school district in New Jersey is large enough to counter the insurance industry on its own, all districts ...

BOSTON — Massachusetts health insurers will be required to streamline, and in some cases scrap altogether, pre-approval for many routine medical procedures and medications under proposed new state ...

BOSTON (SHNS) – State insurance regulators unveiled sweeping prior authorization reforms that would scrap pre-approval requirements for “many routine and essential” health care services, Gov. Maura ...