Rep. Lois Frankel said she is pushing back against a movement to add prior-authorization requirements to Medicare and to use ...
Beginning Jan. 1, 2026, 17 medical procedures will require prior authorization for patients under the traditional Medicare ...
The idea behind it seems reasonable: Insurers want to ensure treatments are medically necessary before they pay for them. But ...
Insurers have been canceling Medicare Advantage programs for years. Fresno Unified isn't alone in the fight between payers ...
ASC leaders say prior authorization has become the most damaging pain point in payer relationships, delaying care even after clinical decisions are made and surgeries are scheduled. Four ASC leaders ...
AI-powered prior authorization in Medicare Advantage and private insurance has attracted intense criticism, legislative action by state and federal lawmakers, federal investigations and class-action ...
A six-state pilot program will target 'wasteful care' under Medicare Medicare programs in six states will face prior authorizations under a new pilot program. Traditional Medicare in six states will ...
Medicare programs in six states will face prior authorizations under a new pilot program. - Getty Images Traditional Medicare in six states will soon feel more like privatized Medicare Advantage, ...
BOSTON — Massachusetts health insurers will be required to streamline, and in some cases scrap altogether, pre-approval for many routine medical procedures and medications under proposed new state rul ...
Ben Diestel, SVP of Innovation at Cardiovascular Associates of America, said: ...
Every year tens of millions of Americans dig deep into their pocketbooks to pay for health insurance plans that will cover ...
The doctor shortage in Hawaii has not only persisted, but worsened, according to the most recent report tracking the numbers.
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