Artificial intelligence will soon be used for prior authorization for certain Medicare services in Texas and five other ...

Medicaid, the federal-state health insurance program serving low-income individuals and families, is set to undergo one of ...

Nebraska will become the first state to implement new work requirements for some people with Medicaid health insurance under ...

House Democrats largely opposed a bill banning Medicaid funding for transgender treatments for minors, with only four crossing party lines in the 215-201 vote.

H.R. 1’s Medicaid provider tax changes are projected to reduce federal investments by nearly $226 billion over 10 years and cause 2.4 million people to lose coverage.

Learn about Medicare and Medicaid fraud, key examples, and how these unethical practices affect taxpayers and healthcare ...

Texas AG Paxton sues two doctors for alleged healthcare fraud and illegal gender transition drug prescriptions to minors.

With more than 50 years of experience supporting over 70 million Medicaid members nationwide, Gainwell brings unmatched scale and expertise to its state partners. As states face unprecedented change, ...

The bill bars federal insurance coverage for gender-affirming care for minors and is unlikely to advance in the Senate.

Next year, Texas will be one of six states participating in a Medicare pilot program that uses artificial intelligence to review certain patient service requests to reduce fraud, waste and abuse.

The state's Department of Human Services says this move will “strengthen the integrity of Minnesota’s Medicaid programs and services." ...