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

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

You can request an "external review" from the Illinois Department of Insurance if your health insurance claim denial involved ...

If you have been following immigration news and are wondering how changes in Washington might affect your workforce, you are not alone. Senate ...

On January 22, 2025, the New York State Assembly and Senate rapidly passed the wide-ranging New York Health Information Privacy Act (“NY HIPA”).

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

House Republicans plan to reintroduce legislation that would reform how North Carolinians are affected by health insurers' prior authorization policies for treatments, medications and procedures. The ...

A Utah man says that despite receiving assurances from both his medical insurance provider and the hospital he was authorized ...

"Insurance companies will fight it, and thus it will be difficult to get the bill all the way into law," said Donny Lambeth, ...

Effective Jan. 13, the U.S. Department of Homeland Security’s (DHS) final rule aiming to solidify current policy to automatically extend employment authorization documents (EAD) for certain eligible ...

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UnitedHealthcare will ease prior authorization requirements for its Medicare Advantage plans, UnitedHealth Group CEO Andrew Witty said Thursday. In his first public remarks since the murder of ...