But making sense of the numbers isn't easy, experts say ...

US health insurers have made it easier for doctors to get approval before providing certain types of treatment, industry ...

Insurers have eliminated 11% of prior authorization requirements across a range of medical services since June, representing 6.5 million fewer prior authorizations for members, according to an ...

Six months after Eric Tennant died following a protracted battle with his health insurer over doctor-recommended cancer care, ...

There are three key ways to reduce the administrative burden in the US health care system.

AI’s role in insurance is already spawning lawsuits and battles over its regulation. That's not slowing down its use.

Major U.S. insurers cut prior authorization requirements by 11%, including over a 15% prior authorization across Medicare Advantage. Read more here.

Payers are now required to publicly post certain prior authorization metrics, but an initial look at the first set of data offers “little insight into what gets approved or denied, according to an ...

Patients who experience delays in elective spine surgery due to the preauthorization approval process had prolonged pain with ...

Walnut Hill Medical (“WHM”) today announced its acquisition of TAMM Net, an Atlanta-based medtech clinical research organization with expertise in regulatory submissions, reimbursement strategy, and ...

“Insurers have pushed certain cancer-care centers out of network before the end of the calendar or policy year.” ...