About 32% of Americans say prior authorization requirements are a major burden, more than billing confusion or finding ...
"Medically necessary" is often a four-letter word for patients.
California is one of 31 states that passed laws in 2025 limiting insurance companies’ use of prior authorization to approve ...
Major health insurance providers have agreed to reduce the need for prior authorization — the requirement that patients must get approval from insurers before receiving certain treatments or risk ...
Prior authorization (PA) is a widely used insurance mechanism intended to ensure cost-effective, evidence-based care. However, in practice, it often imposes significant administrative and clinical ...
The Alabama Senate has passed legislation that would impose new requirements on insurers that use AI to make prior authorization decisions, including a mandate that any decision to deny a request must ...
Nearly seven months after the fatal shooting of an insurance CEO in New York drew widespread attention to health insurers’ practice of denying or delaying doctor-ordered care, the largest U.S.
Prior authorization delays and standardized codes that do not measure case variability are just two orthopedic policy ...
Some medical procedures and treatments require prior authorization from your health insurance company, meaning you'll need pre-approval before you can receive care. This episode, health care reporter ...
Despite federal and state mental health parity laws – like New York’s “Timothy’s Law” – that require insurance companies to offer the same coverage for mental health problems as they do for other ...
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