The challenge of ensuring that all patients have access to affordable, high-quality care will not be solved by setting up ...

Prior authorizations are the way MA managed care plans pre-approve some procedures before they’ll pay for them.

You can request an "external review" from the Illinois Department of Insurance if your health insurance claim denial involved ...

Bullish option flow detected in Humana (HUM) with 2,535 calls trading, 1.2x expected, and implied vol increasing over 2 points to 46.52%.

Two Triad N.C. House Republicans plan to reintroduce legislation that would reform how North Carolinians are affected by ...

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 ...

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 ...

During LGP’s majority ownership, several [Prospect] hospitals suffered form the effects of labor cuts, decreased patient capacity, inadequate and unsafe building maintenance and financial ...

Is Medicare reducing payments to doctors ... a bipartisan effort to include a codification of those prior authorization changes in the form of the Seniors Timely Access to Care Act. I mean, ...