Ahead of HIMSS26, Sairohith Thummarakoti of Texas A&M University–Kingsville previews his talk on how agentic AI and low-code ...

UnitedHealth Group has released the results of an external review of its business practices. In July, independent consultancies FTI Consulting and the Analysis Group began a review that included ...

Starting Jan. 1, traditional Medicare recipients in Washington state will face a new hurdle to get certain procedures covered — private AI companies that get paid based on how many claims they deny.

With a background in journalism and counseling, Penny Min blends analytical research with real-world insight to help readers make informed financial decisions. At Forbes Marketplace, she specializes ...

When Sally Nix found out that her health insurance company wouldn’t pay for an expensive, doctor-recommended treatment to ease her neurological pain, she prepared for battle. It took years, a chain of ...

A majority of consumers report issues with insurer prior authorization, with 51% experiencing problems in the past two years. Insurers have pledged to reform PA processes, but awareness of these ...

Optum Rx officials said they now have eliminated reauthorization requirements for more than 140 chronic disease medications. Effective July 1, 2025, Optum Rx is removing reauthorization for more than ...

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 ...

Highmark was among more than 50 health insurers who pledged Monday to speed up and slim down prior authorization, the process through which patients and their doctors must seek insurance approval for ...

The biggest health insurance companies in the U.S. have pledged to reform much-maligned prior authorization policies, which require doctors and hospitals to get their go-ahead before providing certain ...

Major companies had faced mounting pressure to stop denying or stalling authorization of coverage for treatments and prescriptions. By Reed Abelson Facing regulatory crackdowns and intensifying ...