The challenge of ensuring that all patients have access to affordable, high-quality care will not be solved by setting up ...

Medicare Advantage prior authorization (PA) is the process you go through to get certain services and drugs approved before ...

Will your care be denied? Medicare Advantage insurers use prior authorization to manage utilization and lower costs. How to ...

Prior authorizations are the way MA managed care plans pre-approve some procedures before they’ll pay for them.

Surescripts®, the nation's leading health information network, will convene industry experts and Surescripts Network Alliance ...

Overall Medicare Advantage plans denied 6.4% of prior authorization requests in 2023. Prior authorization was needed 1.8 times per beneficiary, according to Kaiser.

Insurers say they help lower patient costs by helping people avoid unnecessary or inappropriate health services.

Bengaluru: Cigna will roll out measures to simplify the process for physicians to submit claims and prior authorization requests, the U.S. health insurer said on Monday. The killing of Brian ...

If your health insurer has denied a claim for service or treatment, you may be eligible to request an external review through ...

UnitedHealth CEO Andrew Witty’s recent public comments suggest he understands healthcare’s biggest problem. The question is: Will he take action to fix it?

Connecticut's Department of Aging and Disability Services overpaid an employee more than $20,000 for unused sick leave, a new ...