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 ...
Learn how prior acts coverage protects against claims on past events under liability insurance. Discover retroactive dates and coverage differences.
The idea behind it seems reasonable: Insurers want to ensure treatments are medically necessary before they pay for them. But in practice, it often means delayed appointments, stalled medication ...
A sign points visitors toward the financial services department at a hospital. Contributor Brian Rezel Carr writes that an insurance practice called prior authorization leads to worse patient outcomes ...
Doctors are cheering the new federal rule announced Wednesday which will speed up health insurance company decisions on whether to authorize or deny medical care or treatments for millions of patients ...
InvestigateTV also contacted a healthcare information educator in Louisiana, Jacqueline Jones, who replicated a portion of the team’s research. Jones looked at sub-set of tests and procedures and the ...
MONDAY, March 19, 2018 -- The scenario may sound familiar: Your doctor sends your prescription electronically to the pharmacy, and you go to pick it up. Only you can't, because the insurance company ...
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 ...
Even before the COVID-19 pandemic, the prior authorization process had become the bane of doctors and patients. Physicians say that health insurers’ authorization requirements, which can delay the use ...
Colin J. Haller was smart, funny, ambitious and athletic. And he was just 25 when he was diagnosed with metastatic melanoma. The Maryland native had already launched a successful internet marketing ...
BRIDGEPORT, W.Va. — By the time Eric Tennant was diagnosed in 2023 with a rare cancer of the bile ducts, the disease had spread to his bones. He weighed 97 pounds and wasn’t expected to survive a year ...