Researcher found 80% of claim denials were ultimately reversed, reinforcing long-standing concerns raised by AAOS and patient advocates ...

Prior authorizations for adult degenerative spine disease patients led to delays in care without improving costs, according ...

Add Yahoo as a preferred source to see more of our stories on Google. Artificial intelligence will soon play a role in whether Medicare will pay for Ohioans' pain relief therapy and skin substitute ...

Several health insurers are extending prior authorizations for elective services that have been canceled or deferred because of COVID-19. Blue Cross and Blue Shield of Minnesota shared with Becker’s ...

UnitedHealth has rescinded a plan to require prior authorization for colonoscopies and other endoscopic procedures, following backlash from physician groups. UnitedHealth, which operates the biggest ...

For a patient beginning cancer treatment, time matters. Utahns should not have to guess what criteria determine whether their ...

Many health systems and patients have struggled with prior authorization procedures. Prior authorization practices are staying in the spotlight. Health systems are looking for payers to do more to ...

Prior authorization requires doctors to get approval from a patient’s insurance company before they’ll cover a procedure, ...

Many physicians and practices say prior authorization is a major administrative burden and have urged lawmakers to institute reforms to the process for commercial and public payers. Nearly 97% of ...

The controversial prior authorization policy for colonoscopies that UnitedHealthcare wanted to put into effect today will not take place, the company said last night in a statement. Instead UHC wants ...