UnitedHealth is again being accused of improper business practices for allegedly paying nursing homes to avert resident ...

The proposal would allow the state’s Insurance Commissioner to limit rate increases for carriers with a track record of ...

A grainy, jittery video has gone viral on social media. Duct-taped to a chair and goggle-eyed with fear, the hostage, a Dark ...

Payers in 2024 initially denied 11.8% of dollars associated with hospital-based claims, according a report from consultant ...

A bipartisan bill aiming to reform prior authorization has been reintroduced in the Senate. | The Improving Seniors' Timely ...

The company and other insurers have faced backlash from patients who say they were denied necessary care and providers say ...

Explore how prior authorization affects insurance costs and patient care, with insights on its pros, cons, and supporting data.

The AHA May 21 voiced support to Senate and House sponsors of the Improving Seniors’ Timely Access to Care Act, legislation ...

Prior authorization specialists spend hours chasing down documentation, submitting forms and checking for updates. Billing teams reconcile denials long after the fact for consultative care ...