Payers prior authorization denial rates must be publicly reported starting March 31, 2026, improving transparency for Medicare Advantage and ...
AI’s role in insurance is already spawning lawsuits and battles over its regulation. That's not slowing down its use.
The Electronic Frontier Foundation is seeking more information on the government’s agreements with participating vendors, ...
The requirement for prior authorization was more common for patients identifying as Black, Hispanic and with non-Medicare insurance. HealthDay News — For patients with heart failure, prior ...
Artificial intelligence has become healthcare’s favorite scapegoat, especially in insurance. Every denied claim, every delayed approval, every inexplicable “not medically necessary” response seems to ...
Semaglutide (GLP-1) drugs like Ozempic are designed to treat type 2 diabetes, but are widely known for their effect on weight loss. Credit: Shahrzad Rasekh / CT Mirror Groups representing low-income ...
Prior authorization is a major noncost barrier, affecting 69% of insured adults, with 34% citing it as their biggest challenge. Delays and denials from prior authorizations significantly impact mental ...
Massachusetts health insurers will face new restrictions around the much-maligned practice of prior authorizations, eliminating the red tape around how patients access some drugs and services, ...
Massachusetts insurance regulators unveiled sweeping prior authorization reforms that would scrap pre-approval requirements for "many routine and essential" health care services, Gov. Maura Healey ...
State insurance regulators unveiled sweeping prior authorization reforms that would scrap pre-approval requirements for “many routine and essential” health care services, Gov. Maura Healey announced ...
A year ago, the fatal shooting of a health insurance executive on a Manhattan sidewalk unleashed many Americans’ pent-up frustration with insurers’ delays and denials of care. UnitedHealthcare CEO ...
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