"Medically necessary" is often a four-letter word for patients.

Payer scrutiny in spine and orthopedic care is intensifying, and surgeons say the biggest barriers to care come not from clinical uncertainty, but from rigid algorithms, prior authorization delays and ...

More than 34.1 million Americans were enrolled in a Medicare Advantage plan in 2025, accounting for 54% of all Medicare beneficiaries. We have seen enrollment in MA plans increase significantly over ...

The Transportation Security Administration now charges travelers $45 if they don't have a Real ID. TPG just tested it out.

The Centers for Medicare & Medicaid Services (CMS) has been using prior authorization for selected Hospital Outpatient Department (OPD) services ...

In a two-hour meeting, the Board of County Commissioners workshopped the county’s travel policy, notably discussing and agreeing on multiple edits for travel authorization and reimbursement.

Blue Shield is designing a centralized, machine-readable policy repository to enhance policy digitization and automation, speeding up prior authorization decisions. The organization has partnered with ...

For many in the U.S., the “uncomfortable realization” is that having health insurance doesn’t always guarantee coverage for ...

The Real ID standard has been in place for a while. Now, fees are coming into play for those who can't prove their identity.

The state's exact reasoning for the suspension is unclear at this time. However, in a letter from Dec. 12, 2025, from Boyd to ...

Spine and orthopedic physicians and leaders are bracing for a myriad of friction points in 2026, and one common thread across settings is with payers. Several experts discuss how they’re managing ...

As employers look to strengthen workplace safety programs in 2026, it is increasingly important to reassess when and how to use Workplace ...