Leaders at the Centers for Medicare and Medicaid Services are exploring proposals to limit health insurers’ use of tactics ...

The packed agenda featured topics such as: prior authorization reform efforts; the use of genetic testing in life insurance underwriting; insurers’ use of artificial intelligence; prescription drug ...

A CMS spokesperson said in a written statement that the agency is “committed to cutting down on unnecessary delays” for ...

Gov. Kelly Armstrong signs a bill that seeks to prevent insurance prior authorization from blocking patients’ access to care ...

The goal is to separate certifying clinical appropriateness from determining insurance coverage. Health insurers use prior authorization to make clinical decisions despite the inherent conflict of ...

according to Commissioner Cory King BCBSRI already announced it is raising reimbursements by 15% on July 1 and cutting prior ...

A Blue Cross Blue Shield policy will force some patients to self-inject medicine, with potentially dangerous results.

CVS Health reported $1.8 billion in net income for the first quarter, a 58.5% leap, as revenue increased 7% to $94.6 billion.

When insurance companies wield prior authorization power in this way, they are in essence practicing medicine and making decisions for patients. Health insurance companies should not be making ...

Humata Health announced that Allegheny Health Network is the first health system to implement truly touchless medical prior authorization.

A law signed Wednesday by Gov. Kelly Armstrong looks to reform the “prior authorization” process for patients. It sets ...