Prior authorizations are the way MA managed care plans pre-approve some procedures before they’ll pay for them.

Medicare beneficiaries often pay monthly premiums, copays, annual deductibles and prescription drug costs. But what you may ...

I am turning 65 on April 4, working part-time, and not eligible for my employer benefits, so I need Medicare. A friend gave me confusing information about enrolling, saying that the 7-month window is ...

The Inflation Reduction Act (IRA), passed in 2022, made changes to the way drugs are covered and reimbursed in Medicare.

Will your care be denied? Medicare Advantage insurers use prior authorization to manage utilization and lower costs. How to compare plans during open enrollment.

After more than a two-year hiatus, Kroger is welcoming back Express Scripts customers for health and pharmacy needs. Kroger ...

Cincinnati-based Kroger Health has reached a new agreement with Express Scripts, the pharmacy benefit services arm of Evernorth, to provide access to prescription medications and health services at ...

Wes Battle has been glued to the phone at his financial-planning office in Maryland for days, endlessly fielding calls from clients, most of whom work for the federal government. They all want to know ...

As President Donald Trump gets settled into his second term, many industry leaders are wondering which policy changes could affect oral healthcare in the U.S. Melissa Burroughs, director of public ...

Heather Bryan was diagnosed with a rare form of blood cancer, for which she was prescribed Cotellic, a pill that slows the ...

If you did not apply for Medicare Part B (medical insurance) within three months before or after turning age 65, you have ...