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

New legislation signed by Gov. Kelly Armstrong aims to protect patients from care-delaying snags in the health insurance ...

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

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 ...

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

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

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 ...

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

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

Prior authorization (PA ... the reason for a denial will help form an effective appeal request. Your health insurance provider must respond with an explanation for the denial.

To protect Californians' health insurance coverage in the face of continued attacks by the federal administration on the rights and access to health care for historically disadvantaged and vulnerable ...