Debra Cornez, senior counsel for the Office of Administrative Law, which will review the regulations, said that "it's not fair to say that because something is listed in these reports that it doesn't ...

California regulators proposed prescription drug protections for HMO members Tuesday, describing the rules as the nation’s first to mandate broad coverage of medically necessary medications. Although ...

As health maintenance organizations (HMOs) have flourished as an alternative to traditional means of delivering and paying for health care, so too has the body of federal and state regulation ...

Require health plans to cover any drug considered medically necessary, even if it is not on the plan's approved medication list. Disputes over medical necessity would be decided by an independent ...

NEW YORK (Reuters) - Shares of U.S. health insurers lost initial gains on Wednesday as new proposed regulations that are part of efforts to overhaul the health system overshadowed momentum from the ...