#prior-authorization

[ follow ]
#patient-care #insurance-industry #medicare #healthcare #health-insurance #appeals #artificial-intelligence
fromCbsnews
4 days ago

State of denial: How insurance companies impact health care today

It was heartbreaking, and it was awful," she said. "I lived in fear every day.
Public health
#health-insurance
fromThe Mercury News
1 week ago
Healthcare

Two years later, this $18,926 surgery claim is still in limbo - is there a way out?

An insurer and its vendor refuse payment of an emergency surgeon's fee over authorization and procedural disputes, risking patient liability as the two-year deadline approaches.
fromCbsnews
6 months ago
Healthcare

Health insurers move to streamline prior authorization process, promising quicker care

Health insurers are simplifying the prior authorization process to expedite patient care access.
fromCbsnews
6 months ago
Healthcare

Health insurers move to streamline prior authorization process, promising quicker care

more#health-insurance
fromMedCity News
3 weeks ago

Payers Made a Bold Prior Auth Commitment in 2025. Here's What to Expect in 2026 - MedCity News

We're making meaningful progress on improving the prior authorization process. ... With many improvements going live in January, we remain committed to streamlining processes and reducing the scope of requirements to improve the experience for patients and providers,
Public health
#medicare
fromFuturism
4 months ago
Public health

Medicare Will Start Paying AI Companies a Share of Any Claims They Automatically Reject

fromFuturism
4 months ago
Public health

Medicare Will Start Paying AI Companies a Share of Any Claims They Automatically Reject

more#medicare
US politics
fromMedCity News
1 month ago

Lawmakers Introduce Multiple Bills Aimed at Medicare Advantage Reform - MedCity News

Thirteen House Democrats introduced eight bills to limit Medicare Advantage abuses, curb denials and overcharging, and strengthen protections and choice in traditional Medicare.
Public health
fromwww.sandiegouniontribune.com
3 months ago

Fighting a health insurance denial? Here are 7 tips to help

Patients can overturn prior authorization denials by understanding their insurance type, documenting medical necessity, following appeal procedures, and persistently challenging insurer decisions.
Public health
fromThe Mercury News
3 months ago

Fighting a health insurance denial? Here are 7 tips to help

Prior authorization denials are common, difficult to appeal, and require persistent, informed pushback to obtain provider-recommended treatments.
#healthcare-reform
fromFortune
5 months ago
Healthcare

Fortune 100 health insurer Humana commits to 'greater transparency' on preapproval as it slashes a third of all mandates

fromFortune
5 months ago
Healthcare

Fortune 100 health insurer Humana commits to 'greater transparency' on preapproval as it slashes a third of all mandates

more#healthcare-reform
Healthcare
fromTruthout
6 months ago

The Trump Administration Is Planning to Use AI to Deny Medicare Authorizations

The Trump Administration is expanding prior authorizations in Traditional Medicare to reduce low-value care through a new public-private partnership.
Healthcare
fromtime.com
6 months ago

Health Insurers VowAgainto Fix Prior Authorization Process. Here's What to Know

Health insurance companies pledged to reform the prior authorization process amid patient and provider complaints of care delays.
#healthcare
more#healthcare
[ Load more ]