The idea behind it seems reasonable: Insurers want to ensure treatments are medically necessary before they pay for them. But ...

Strengthen your financial backup. Even with Medicare coverage, unexpected out-of-pocket expenses can pop up. Earn as much as ...

The prior authorization bundles are for condition-specific procedures, Aetna said. Previously, providers had to submit two ...

A year ago, the killing of a health insurance executive on a Manhattan sidewalk unleashed many Americans’ pent-up frustration with insurers’ delays and denials of care.

Electronic health record providers are starting work that could transform how nursing homes grapple with prior authorization requests and length of stay determinations.

Payers have new deadlines to issue prior authorization decisions — 72 hours for urgent requests and seven days for non-urgent ones. Prior authorization is a process wherein a doctor must get approval ...

The National Defense Authorization Act leaves out a number of energy- and environment-focused provisions. Congressional leaders unveiled a compromise defense policy bill Sunday evening that maintains ...