The Centers for Medicare and Medicaid Services aims to overhaul health insurance prior authorizations under a proposed rule published Tuesday. The regulation would require Medicare Advantage, Medicaid ...

One of the biggest frustrations in getting medical care — prior authorization from insurance companies — might get easier soon. Some of America’s biggest health insurance companies are now pledging to ...

A man with leukemia wrestles with his insurance company for access to medications to manage his excruciating pain. An oncologist is forced to delay needed treatments while arguing for health insurance ...

Centers for Medicare and Medicaid Services put forth a new set of rules to curb private insurance's use of prior authorization. These new rules will go into effect in 2026 and will impact care for the ...

Recently two members of our family had to obtain prior authorization from their health insurance. One person wanted a knee replacement by an orthopedic surgeon and his request was approved; the other ...

When Paula Chestnut needed hip replacement surgery last year, a pre-operative X-ray found irregularities in her chest. As a smoker for 40 years, Chestnut was at high risk for lung cancer. A specialist ...

Christopher Marks noticed an immediate improvement when his doctor prescribed him the Type 2 diabetes medication Mounjaro last year. The 40-year-old truck driver from Kansas City, Missouri, said his ...

As doctors, we do our best to spend time with patients and make medical decisions that are best for their health. These days, insurance companies are making it increasingly difficult to do both. They ...

WASHINGTON (NEXSTAR) – Major health insurance companies, representing about 75% of covered Americans, are pledging to speed up the “prior authorization” process, Dr. Mehmet Oz announced Monday. “It ...

The New Mexico Office of Superintendent of Insurance urges all health insurance consumers to actively monitor the status of any prior authorization requests submitted on their behalf. Prior ...