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

The challenge of ensuring that all patients have access to affordable, high-quality care will not be solved by setting up ...

Molina Healthcare CEO Joe Zubretsky downplayed attempts by Republicans to gut or limit Medicaid in upcoming reconciliation bills or at the state level on a Feb. 6 fourth-quarter earnings call.

Medicare Advantage prior authorization (PA) is the process you go through to get certain services and drugs approved before ...

Medicaid MCR is forecasted at 89.9% for 2025, with most rate increases already known. Medicare is expected to see a slightly elevated MCR above target due to utilization pressure and suboptimal recent ...

We recently published a list of 12 Best Health Insurance Stocks to Buy in 2025. In this article, we are going to take a look at where Molina Healthcare, Inc. (NYSE:MOH) stands against other best ...

Debra Patt, MD, PhD, MBA, MPH, warns that prior authorization barriers are delaying ... I am optimistic. I think health care is complicated, it’s important that people have perspectives.

Healthcare plan provider Molina Healthcare ... are likely to have contributed to membership growth in MOH’s Medicaid and Medicare businesses. An aging U.S. population is likely to have sustained ...

The provider of Medicaid-related services posted revenue of $10.5 billion in the period, which met Street forecasts. For the year, the company reported profit of $1.18 billion, or $20.42 per share.

A Senate committee approved legislation that would create public-private partnerships to oversee pharmacy benefits for all state plans, such as Medicaid and state employee health plans.

Developed by Pfizer, Paxlovid was granted emergency use authorization ... by prescription from a healthcare provider and is available at no cost to the patient during the COVID-19 public health ...