For patient advocates and health economists, cases like Ekirch’s illustrate why prior authorization has become such a chronic ...

Lindsi Franklin’s son, Isaac, was 9 years old in June 2024 when doctors found an abscess in his stomach and a section of ...

Consumer groups, doctors, state advocates offer advice on what you can do when insurance denies you coverage or bills don't make sense.

If Donald Trump and Elon Musk want a bold win for Americans, they should champion the creation of a PayPal for health care ...

The practice differs by insurance company and plan, but the rules often require patients or their doctors to request permission ... by KFF found that prior authorization is particularly burdensome for ...

Medicare Advantage insurers had urged CMS to scrap the obesity drug coverage proposals and eliminate a health equity payment ...

A bipartisan group of physician legislators has introduced legislation in the House of Representatives to reform payer use of ...

A bill to reform “prior authorization” has passed both the North Dakota House and Senate.

CMS has published its final rule for Medicare Advantage and Part D in 2026, outlining a series of regulatory updates aimed at ...

Prior authorization leeway will be trimmed while health plans get more money under new federal rules for Medicare Advantage plans.

CMS has released its final rule for Medicare Advantage and Part D for 2026, introducing several regulatory changes aimed at ...

You can sign up for Medicare starting 3 months before you turn age 65, or up to 3 months after the month you turn 65.