If your insurer refuses to pay for a treatment or procedure that you believe should be covered, use our guide to appeal.

During public comments at this week’s regular Blue Lake City Council meeting, Mayor Pro-Tem Elise Scafani, Mayor John Sawatzky and Councilmember Kat Napier were served a recall notice by a group of ...

A bipartisan bill introduced in the Senate and House aims to streamline the prior approval process for care for Medicare Advantage enrollees.

Blue Cross plans are retreating from GLP-1 weight-loss drug coverage after spending hundreds of millions of dollars on the highly popular medications.

Lawmakers last week reintroduced the Improving Timely Seniors’ Access to Care Act, which aims to streamline prior authorization.

A federal court says this insurer could be on the hook for how it processed claims - and profited from correcting its own ...

The current prior authorization process in U.S. healthcare constitutes a crisis, according to Jesse Ehrenfeld, immediate past ...