Health insurance companies are expected to hold to their promises in 2026 to “streamline, simplify and reduce” prior ...
A man with leukemia wrestles with his insurance company for access to medications to manage his excruciating pain. An oncologist is forced to delay needed treatments while arguing for health insurance ...
A six-state pilot program will target “wasteful care” under Medicare, Centers for Medicare & Medicaid Services says.
As doctors, we do our best to spend time with patients and make medical decisions that are best for their health. These days, insurance companies are making it increasingly difficult to do both. They ...
The Connecticut State Medical Society is taking aim at the health insurance industry's practice of prior authorization this legislative session. Prior authorization, also known as "precertification" ...
A new North Dakota law that took effect Jan. 1 requires health insurers to respond to prior authorization requests in a timely fashion. The changes follow reforms seen elsewhere in the country, and ...
The idea behind it seems reasonable: Insurers want to ensure treatments are medically necessary before they pay for them. But ...
Christopher Marks noticed an immediate improvement when his doctor prescribed him the Type 2 diabetes medication Mounjaro last year. The 40-year-old truck driver from Kansas City, Missouri, said his ...
BRIDGEPORT, W.Va. — By the time Eric Tennant was diagnosed in 2023 with a rare cancer of the bile ducts, the disease had spread to his bones. He weighed 97 pounds and wasn’t expected to survive a year ...
Permission to Practice: Doctors, patients say insurance prior-authorizations put profits over people
InvestigateTV also contacted a healthcare information educator in Louisiana, Jacqueline Jones, who replicated a portion of the team’s research. Jones looked at sub-set of tests and procedures and the ...
Sheldon Ekirch spends a lot of time on hold with her health insurance company. Sometimes, as the minutes tick by and her frustration mounts, Ekirch, 30, opens a meditation app on her phone. It was ...
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