Prior authorization requests are routinely denied with little to no explanation. AMA also moves to hold payers legally accountable for...
3 months ago

The policies address what AMA sees as the need for greater oversight of health insurers' use of prior authorization controls.
3 months ago

AI chatbots — which can draft letters to insurers in seconds — are opening up a new front in the battle to approve costly claims.
2 months ago

Outpatient services for many Medicare Advantage patients are impacted, but UHC's Gold Card program could provide some relief.
1 month ago

One physician is making the case that prior authorization for procedures should be reported to insurance plans as a CPT code—though that proposal has been...
4 months ago

Over 30 members of the House of Representatives Nov. 3 urged the Centers for Medicare & Medicaid Services to monitor and evaluate how Medicare Advantage plans...
10 months ago

Doctors are often required to get insurance permission before providing medical care. This process is called prior authorization and it can be used by profit-...
6 months ago

Prior authorization is preapproval for medical services or prescription drugs that health insurance plans often require before they'll cover...
9 months ago

The Biden administration announced a final rule yesterday that will change how insurers in federal programs such as Medicare Advantage use prior authorization.
8 months ago

Turnagain Marine is asking the Haines Borough for “prompt payment” of $2.8 million in work on the Lutak Dock project that likely won't be covered by the...
4 months ago