Industry News

Prior authorization is a health plan cost-control process that the AMA survey research shows leads to delayed and abandoned care, negatively affecting patient outcomes. The

Health Care Service Corp. has long been a non-profit health insurance company selling Blue Cross and Blue Shield plans in five states. In March 2025,

The nationwide trend of protecting patients from the impact of medical debt continues as The State of California just passed legislation that prohibits the reporting

Following the Change Healthcare data breach, CH has recently confirmed: “Notices To Be Handled by CHC, Unless Covered Entities Opt Out. If you are a

The AMA continues its efforts to bring greater prior authorization transparency and accountability on the part of payers. At their annual meeting in June, the

In March 2024, Zelis and Availity announced a strategic alliance focused on the end-to-end process between payers and providers. The companies hope to combine their

The DOJ is investigating allegations UnitedHealth Group profited from its ties between United Healthcare and Optum physician groups. The investigation looks to determine if United

Due to the magnitude of the Change Healthcare cyberattack, OCR maintains a FAQ page with updates and investigation status reports. As of May 31, Change

An advisory issued on June 24, 2024 by the Health and Human Services Department and the FBI said criminals are using social engineering campaigns to