For UnitedHealthcare Medicare Advantage plans, only 2.5% of claims require prior authorization, excluding certain requests, ...

Add Yahoo as a preferred source to see more of our stories on Google. Prior authorization: For patients and doctors, insurance can be an unfair game A man with leukemia wrestles with his insurance ...

Six months after Eric Tennant died following a protracted battle with his health insurer over doctor-recommended cancer care, ...

AI’s role in insurance is already spawning lawsuits and battles over its regulation. That's not slowing down its use.

BRIDGEPORT, W.Va. — By the time Eric Tennant was diagnosed in 2023 with a rare cancer of the bile ducts, the disease had spread to his bones. He weighed 97 pounds and wasn’t expected to survive a year ...

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

HB 4965 permits switching to an alternative medically appropriate treatment of equal or lesser value after initial approval, ...

Have you ever walked into the pharmacy and been told that your prescription requires a prior authorization? But your healthcare professional prescribed something for you, and you brought in your ...

Nearly seven months after the fatal shooting of an insurance CEO in New York drew widespread attention to health insurers’ practice of denying or delaying doctor-ordered care, the largest U.S.

The North Carolina Legislative Building, where the General Assembly meets, on Jones Street in downtown Raleigh, N.C. on Sept. 1, 2021 ...

The Connecticut State Medical Society is taking aim at the health insurance industry's practice of prior authorization this legislative session. Prior authorization, also known as "precertification" ...