There isn’t a specific form your healthcare professional needs to fill out to request prior authorization. They can submit their request directly to Medicare by fax or mail, through the ...

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

Health insurance companies are under increasing scrutiny for allegedly using artificial intelligence bots and algorithms to ...

The N.C. Senate and House of Representatives differ on how to make health care more affordable and accessible, including ...

Health insurance companies are under increasing scrutiny for allegedly using artificial intelligence bots and algorithms to swiftly deny patients routine or lifesaving care— without a human actually ...

They call him an opportunist and a vulture who’s capitalizing on a tragedy to promote his dangerous Medicare for All agenda.

Over the years, there have been significant changes to the dyslipidemia medication management guidelines, alongside ...

Therapists say insurers repeatedly require prior authorization, demanding a new request every two or three ... plans face more hurdles than those on Medicare, which sets dollar thresholds on ...

He said rural hospitals could form partnerships with ... on insurer care pre-approvals in Medicare Advantage. He called that practice, known as prior authorization, “a pox on the system ...