Dedicated claims advocates employed by PEOs review medical denials, negotiate facility bills, and connect employees to ...

For UnitedHealthcare Medicare Advantage plans, only 2.5% of claims require prior authorization, excluding certain requests, ...

The fifth annual Abarca Forward conference, hosted by the pharmacy benefit manager (PBM) Abarca Health at its headquarters in ...

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

States Take On Prior Authorization Reform As Congressional Efforts Stall States are picking up the mantle on insurance reform as they await lawmakers' next attempt to push through a bipartisan, health ...

It’s a lucrative shakedown if you can get it, and insurers have been getting it since the passage of the 1973 Health ...

The Electronic Frontier Foundation is seeking more information on the government’s agreements with participating vendors, ...

LAS VEGAS – Ten percent of payers and 33% of providers have not yet started work on Prior Authorization Application Program Interface requirements, according to survey results released by the ...

The requirement for prior authorization was more common for patients identifying as Black, Hispanic and with non-Medicare insurance. HealthDay News — For patients with heart failure, prior ...

Embed <iframe src="https://www.npr.org/player/embed/nx-s1-5743662/nx-s1-9687682" width="100%" height="290" frameborder="0" scrolling="no" title="NPR embedded audio ...

Sheldon Ekirch, of Henrico, Virginia, was diagnosed in 2023 with small-fiber neuropathy, a condition that makes her limbs and muscles feel as if they’re on fire. For two years, she fought her ...