The collaboration represents the first time Sutter Health has formed a joint venture with a Medicare Advantage insurer, ...

To understand the specific rules of your plan, you’ll need to contact your plan provider directly. There isn’t a specific form your ... medications first. The prior authorization process ...

Prior authorizations create substantial administrative and financial burdens on physicians and patients and can disrupt the continuity of care.

Health insurance companies are under increasing scrutiny for allegedly using artificial intelligence bots and algorithms to swiftly deny patients routine or lifesaving care—without a human actually ...

Health insurance companies are under increasing scrutiny for allegedly using artificial intelligence bots and algorithms to swiftly deny patients routine or lifesaving care— without a human actually ...

The N.C. Senate and House of Representatives differ on how to make health care more affordable and accessible, including ...

The bill would also ban insurance companies from using artificial intelligence as the “sole basis” for denying requests for ...

Here, we describe the challenges inherent in health care markets, how our approach to addressing those challenges contributes ...

The state of New York is revising a law that would have stopped hospitals and health care practices from “consent to pay” ...

The North Carolina Senate passed a comprehensive bill Thursday aimed at increasing transparency in health ... the “CARE FIRST Act,” also includes a provision stating that insurance companies ...

Doctors in Hawaii and across the country say preauthorization wastes their time, wastes millions of dollars, and even costs some people their lives.