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 ...

"Medically necessary" is often a four-letter word for patients.

There is a good reason for health insurers to occasionally require prior authorization for medical treatment. If a doctor ...

The Centers for Medicare and Medicaid Services (CMS) has implemented prior authorization requirements for certain traditional ...

Health insurers and health care provider organizations are increasingly using artificial intelligence (AI) tools in prior authorization and claims processes. AI offers many potential benefits, but its ...

new video loaded: ‘What’s My Life Worth?’ The Big Business of Denying Medical Care transcript Imagine you wake up with blurry vision. Your doctor refers you to a specialist but your insurance blocks ...

BOSTON (SHNS) – State insurance regulators unveiled sweeping prior authorization reforms that would scrap pre-approval ...

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 ...

Forbes contributors publish independent expert analyses and insights. Richard Menger is a neurosurgeon and a political scientist. You have worked for your company for 15 years. You suffer from chronic ...

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 ...

The House Banking and Insurance Committee advanced a bill on Wednesday, Jan. 14 that would allow certain health care ...

The North Carolina Legislative Building, where the General Assembly meets, on Jones Street in downtown Raleigh, N.C. on Sept. 1, 2021 ...