One key unsettled issue stalling progress on President Donald Trump’s big bill in Congress is particularly daunting: How to ...

When used strategically, real-world data can shift care upstream, from hospitals to patients and communities, and from crisis ...

Prior authorization refers to when medical providers have to get approval from insurers before performing a service. Patients ...

You're not imagining it—some changes really are harder than others. Here's how to tell the difference before you waste energy on the wrong approach.

The reforms, according to a bulletin from HHS, include: Reducing the number of medical services that require prior authorization, “with demonstrated reductions” by 2026. Honoring existing prior ...

This latest move by health insurers will give patients faster access to health care with "fewer challenges navigating the ...

UnitedHealthcare, Blue Cross Blue Shield and other health insurers plan fixes to prioer authorization, a common source of ...

The shift away from group health plans is natural in many markets, and Congress should pass the 'One Big Beautiful Bill' to empower that transition.

Months after the killing of a top health insurance executive unleashed Americans’ pent-up anger over denials of medical care, ...

Major changes could be in store for the more than 24 million people with health coverage under the Affordable Care Act, including how and when they can enroll, the paperwork required, and ...

Changes would limit how insurers add patient diagnoses that trigger lucrative extra ... Physicians offer a sober look at frustrations with the healthcare system in the U.S. Photo illustration: WSJ.

Prime Healthcare may ask the state for permission to offer lower-level trauma care at three of the eight Illinois hospitals it bought early this year, compared with what those hospitals were ...