When Paula Chestnut needed hip replacement surgery last year, a pre-operative X-ray found irregularities in her chest. As a smoker for 40 years, Chestnut was at high risk for lung cancer. A specialist ...
Behind the health insurance denials and pre-authorizations drawing anger — and what to do about them
The aftermath of the Dec. 4 killing of UnitedHealthcare CEO Brian Thompson — a moment captured on video in which a gunman shot the father of two in the back on a Manhattan street — provoked an ...
CLEVELAND — Nearly all health insurers use "prior authorization requirements," meaning your health provider has to prove why you need what they're prescribing to your health insurer. Health insurers ...
Aug 24 (Reuters) - Health insurer Cigna Group CI.N said on Thursday it would remove the use of prior authorization or paperwork required to get approval for insurance coverage for 25% of medical ...
There's a hidden industry is making money by turning down doctors’ requests for payments, known as prior authorizations. A KFF survey found that roughly 6 in 10 insured adults have experienced ...
Forbes contributors publish independent expert analyses and insights. Bruce Japsen writes about healthcare business and policy. The biggest names in health insurance, including Cigna, CVS Health’s ...
Health insurance companies are set to streamline, simplify and reduce the pre-approval process by transitioning to an electronic prior authorization system. This change is intended to replace the ...
With the murder of the UnitedHealthcare CEO sparking a debate on insurance companies denying treatment, a state lawmaker says it is time for New Jersey to give doctors the final say over which tests ...
The program was first announced in June by Health and Human Services Secretary Robert F. Kennedy Jr. and Dr. Mehmet Oz, ...
Health and Human Services Secretary Robert F. Kennedy, Jr. and CMS Administrator Dr. Mehmet Oz announced a pledge from insurers to streamline the prior authorization process for patients. According to ...
WASHINGTON (NEXSTAR) – Major health insurance companies, representing about 75% of covered Americans, are pledging to speed up the “prior authorization” process, Dr. Mehmet Oz announced Monday. “It ...
Doctors say getting procedures pre-authorized by insurance can lead to delays and sometimes deny patients needed care. A new law in New Hampshire aims to reform the process. Medical treatments often ...
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