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 ...

Recipients of Medicaid frequently face prior authorization hurdles when pursuing medical care or treatment. Medicaid is a ...

Major health insurers have pledged to improve the prior authorization process, which has long frustrated Americans.

Why do I need a prior authorization for something that I am already prior-authorized to take? If my doctor says that they want me on a medication, why does my insurance have another say in that?” — ...

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 ...

Requirement for prior authorization more common for patients identifying as Black, Hispanic and with non-Medicare insurance.

The current prior authorization system in orthopedics leads to unnecessary denials and delays that could be improved with a level of standardization, according to this orthopedic surgeon. A new ...

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" ...

Here are four things to know. 1. Providers may use the prior authorization solution to confirm if medical procedures require preauthorization, according to a news release. 2. TransUnion Healthcare ...

Nearly seven months after the fatal shooting of an insurance CEO in New York drew widespread attention to health insurers’ practice of denying or delaying doctor-ordered care, the largest U.S.

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 ...

Prior authorization requires doctors to get approval from a patient’s insurance company before they’ll cover a procedure, ...