Skeptics note that efforts to streamline the much-despised prior authorization system have failed twice before.

Health insurance companies have pledged to improve prior authorization with 6 key reforms, according to the HHS.

As payers announce plans to improve prior authorizations, two spine surgeons discuss the changes that would make the most difference for them. Ask Spine Surgeons is a weekly series of questions posed ...

Health insurers covering more than 250 million Americans have unveiled a sweeping plan to streamline and reduce prior authorization requirements — a long-standing source of frustration and burnout for ...

AI for prior authorization determinations in a recent survey. A Senate investigation shows they’re right to worry.

Health insurers may refuse to pay for procedures, tests, medications, and more. If you think a service or treatment should be ...

Months after the killing of a top health insurance executive unleashed Americans’ pent-up anger over denials of medical care, ...

In some cases, the service simply isn't covered by the plan. In other cases, necessary prior authorization wasn't obtained, the provider wasn't in-network, or the claim was coded incorrectly. If a ...

Major companies had faced mounting pressure to stop denying or stalling authorization of coverage for treatments and ...

Following the backlash that hit health insurers after the killing of a top executive last year, the industry will pledge ...