The nation’s major health insurers are promising to scale back and improve a widely despised practice that leads to care delays and complications. UnitedHealthcare, CVS Health’s Aetna and dozens of ...

Medicare providers participating in and payers offering Part C and Part D plans are facing increasing pressure to move into the 21st century, and the government is taking decisive steps to ensure this ...

Please provide your email address to receive an email when new articles are posted on . Inefficiencies in prior authorization systems erode patient trust and can seriously impact care. Reform could ...

The prior authorization process continues to have a "devastating" effect on patient outcomes, physician burnout and employee productivity, according to a new physician survey from the American Medical ...

Hospitals have never had a warm and fuzzy relationship with insurers — and it doesn’t seem like their bond will be getting stronger any time soon, according to a recent report from the American ...

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 ...

Three new studies highlighted the growing burden of prior authorization on both oncologists and patients. Findings from a survey of radiation oncologists, for instance, revealed that more than 80% ...

While there's a lot of buzz around prior authorization, it applies to fewer than 2% of claims. Prior authorization ensures care is both safe and aligned with the most up-to-date clinical guidelines.