This month, lawmaker introduced or were drafting separate bills restricting health insurers’ ability to require prior ...

When Lou and Lindsay Volpe’s son was diagnosed with a chronic bowel disease at age 11, their health insurer required constant ...

| With budget reconciliation right around the corner, different slices of the healthcare industry have made their views clear on issues like physician pay, ACA subsidies, telehealth flexibilities, ...

Humana maintains a healthy balance sheet, in our opinion. Most of its cash and investments ($24 billion as of mid-2024) is held at its subsidiaries, though, and the company aims to hold about $500 ...

Statewide, 60% of Medicare eligible residents in Florida were enrolled in Medicare Advantage plans in 2023 compared to a ...

House Republicans plan to reintroduce legislation that would reform how North Carolinians are affected by health insurers' prior authorization policies for treatments, medications and procedures. The ...

For example, Cigna requires preauthorization for CTs, MRIs and PET scans for HMO-POS network contracts, while Humana requires for CTs, MRIs and PET scans for Medicare replacement plans.

Related: Prior Authorization Denials in Medicare Advantage Plans Increasing Additionally, a review issued in August 2024 by KFF found that in Medicare Advantage plans almost all enrollees are required ...

Dealing with prior authorization and its delay demoralizes health care teams and frustrates patients, and it can cause patients to be inappropriately undertreated. The Centers for Medicare and ...

UnitedHealthcare will ease prior authorization requirements for its Medicare Advantage plans, UnitedHealth Group CEO Andrew Witty said Thursday. In his first public remarks since the murder of ...