Shares of Merit Medical Systems (MMSI) fell ~3% on Friday after the company said it is pivoting to a new commercial strategy ...

By establishing a payment level that is aligned with the resources required to support the Vivistim procedure, CMS's decision helps ensure that hospitals can offer this therapy on a sustainable basis, ...

U.S. commercial health insurance plans provide coverage without restrictions for about 51% of the prescription drugs that they could cover. Medicaid plans provide no-restrictions coverage for 36% of ...

The Department of Health and Human Services is making Medicare accountable care organizations look more like commercial ACOs in effort to gain the interest of providers. A sweeping set of revisions to ...

Management reiterated confidence that the next step is the publication of a draft local coverage determination (LCD) for EsoGuard, following the CAC meeting. Aklog stated, "we are very confident that ...

Additional progress with traditional Medicare claim approvals has accelerated timelines to payment in 2025 MARLBOROUGH, Mass. and YOKNEAM ILLIT, Israel, Sept. 09, 2025 (GLOBE NEWSWIRE) -- Lifeward Ltd ...

Administrative costs now account for more than 40% of hospitals’ total expenses for delivering patient care, with a significant portion driven by the rising number of care denials stemming from the ...

Traditional Medicare not only doesn’t measure up to Medicare Advantage (MA) when it comes to cutting back on utilization, it also falls short in many ways compared to commercial insurance for those ...

Physician pay in Medicare Advantage (MA) programs is more strongly linked to traditional Medicare (TM) rates than negotiated commercial prices, although MA plans tend to pay less than TM plans, ...

The average cost for a 180-day episode of total knee replacement for Medicare patients is $22,611, while that figure is $25,872 for patients with commercial health insurance — a 14 percent difference, ...