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

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 ...

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 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 woman with multiple sclerosis wanted to be able to walk up the stairs at home without losing her balance. Her doctor prescribed medicine that helped, but then approval from her insurance plan for ...

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.

Some of the nation’s largest insurance providers are pledging to make major reforms to the prior authorization process, a practice requiring insurance company sign-off for certain treatments that ...

Major health insurance providers have agreed to reduce the need for prior authorization — the requirement that patients must get approval from insurers before receiving certain treatments or risk ...

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 ...

Between one-off charges, administrative fees, and office visit copays, some are trying ...

The New Mexico Office of Superintendent of Insurance urges all health insurance consumers to actively monitor the status of any prior authorization requests submitted on their behalf. Prior ...