This statement highlights what hospitals, clinicians, and patients are experiencing on the ground — and why commercial insurer practices are playing a growing role in driving up costs, creating delays ...

The following statement highlights what hospitals, clinicians, and patients are experiencing on the ground — and why ...

There is a good reason for health insurers to occasionally require prior authorization for medical treatment. If a doctor ...

Real-time access to care guidelines integrated into provider workflows can drastically reduce delays and improve first-pass ...

The idea behind it seems reasonable: Insurers want to ensure treatments are medically necessary before they pay for them. But ...

Conagra Brands added a “GLP-1 Friendly” label to 26 of its Healthy Choice frozen meals in early 2025. The Smoothie King chain ...

For almost 40 years, workers and their supporters lobbied to change the rule, seeing it as a contributor to the low wages and ...

Rep. Lois Frankel told Floridians on Friday she is pushing back against a national movement to add prior-authorization requirements to Medicare and to use algorithms to override doctors’ judgment in ...

Idaho families face new Medicaid therapy caps and fear worse is coming after Gov. Little proposed eliminating speech, ...

AI-powered prior authorization in Medicare Advantage and private insurance has attracted intense criticism, legislative action by state and federal lawmakers, federal investigations and class-action ...

Is Medicare Advantage really free? That’s the question answered ina HelloNation article featuring Caroline Edwards of the ...

Insurance verification expansion helps healthcare practices address eligibility challenges before patient visits.