Prior authorization varies by plan but often requires patients or their providers to get permission (also called ...

Accused in the shooting, which occurred one month after the brazen murder of the UnitedHealthcare CEO in New York City, was ...

IRA’s $2,000 out-of-pocket cap helps few; most won’t hit the threshold Insurers raise deductibles, replace flat co-pays with ...

When Alyne Diamond fell off a horse in August 2023 and broke her back, her employer-based health plan through ...

Patient advocates say they frequently hear from people who thought they didn’t need to sign up for Medicare upon turning 65 ...

But if someone has employer coverage through a company with fewer than 20 workers, Medicare generally becomes the primary ...

Diamond was caught in a fairly common coverage snag: People who have group health insurance when they become eligible for ...

Recent federal and state efforts, as well as changes undertaken by insurance companies themselves, have attempted to improve ...

Eric Tennant’s oncologist agreed he was a good candidate for a new, FDA-approved treatment since the largest tumor in his body is in his liver. But that’s when his family began fighting another ...

Millions of prior authorization denials are made annually, leaving many patients stuck in a convoluted appeals process. For ...

The United States may still be the only industrialized nation without universal healthcare, but we do have a pay-as-you-go system in Medicare. Although Medicare currently provides some level of health ...