Industry News

ProPublica and The Capitol Forum reported this month on a company-designed pattern of inappropriate claim rejections by Cigna Healthcare. According to insurance laws and regulations,

States are preparing to remove millions of people from Medicaid as protections put in place under the PHE expire. The upheaval, which begins in April,

In March 2023, Humana announced it will leave the commercial health insurance market and focus its efforts on government-sponsored products such as Medicare Advantage. The

The Department of Health and Human Services (HHS) is planning for the federal Public Health Emergency (PHE) for COVID-19 to expire at the end of

In conjunction with the Department of Health and Human Services (HHS), The Centers for Medicare and Medicaid Services (CMS) has issued a proposal to adopt

There are 393 editorial changes in the 2023 CPT code set, including 225 new codes, 75 deletions and 93 revisions. Some of the notable changes

A record 14.5 million people got coverage through the marketplaces for 2022. This was, in part, due to Congress authorizing enhanced financial assistance as part

Coding and documentation for evaluation and management (E/M) services will carry fewer administrative burdens in 2023 as landmark reforms that were implemented last year for

The AMA continues its efforts to reform the onerous prior-authorization process as a focal point to removing obstacles that interfere with patient care. In early