Medical or Prescription Denials- Very Helpful Resources
Medical or prescription denials can be frustrating, heart-breaking and downright wrong. Many denials are automated by AI and happen in […]
Medical or prescription denials can be frustrating, heart-breaking and downright wrong. Many denials are automated by AI and happen in […]
This brief describes the Managed Care Program Annual Report (MCPAR), a relatively new, comprehensive report on state Medicaid managed care
The PERM program measures improper payments in Medicaid through cyclical audits of state Medicaid programs. This brief explains the PERM
The Medicare drug price negotiation program could improve coverage of drugs selected for negotiation for Medicare beneficiaries because the law
The Medicare drug price negotiation program could improve coverage of drugs selected for negotiation for Medicare beneficiaries because the law
On January 1, 2026, the Center for Medicare & Medicaid Innovation (CMMI) launched the Wasteful and Inappropriate Service Reduction (WISeR)
On January 1, 2026, the Center for Medicare & Medicaid Innovation (CMMI) launched the Wasteful and Inappropriate Service Reduction (WISeR)
In the weeks after the Trump administration reduced the number of recommended childhood vaccines for routine use, the public’s trust
New KFF polling explores the challenges beyond costs that people with insurance face in navigating the health care system. People
If the amount they pay in premiums doubled, about one in three enrollees in Affordable Care Act Marketplace health plans