Will your care be denied? Medicare Advantage insurers use prior authorization to manage utilization and lower costs. How to ...

For the more than 4,500 North Dakotans who will be diagnosed with cancer in 2025, medical prior authorization can delay treatment, increase stress and have a negative impact on their care, according ...

Health insurers now routinely refuse to pay for more expensive drugs or procedures until they have issued a “prior authorization.” Prior authorization is designed to prevent a physician from ...

Debra Patt, MD, PhD, MBA, MPH, warns that prior authorization barriers are delaying critical cancer treatments and urges a regulatory fix for Stark Law restrictions on mailing oral oncolytics.

UnitedHealthcare will ease prior authorization requirements for its Medicare Advantage plans, UnitedHealth Group CEO Andrew Witty said Thursday. In his first public remarks since the murder of ...

them mentality. In Massachusetts, health plans are required by state law to collaborate with physicians to develop medical necessity guidelines used for prior authorization. With this strong ...

Blue Cross Blue Shield will distribute $2.67 billion to about 6 million subscribers following a 2013 antitrust lawsuit. The lawsuit alleged that BC/BS plans illegally agreed not to compete with ...

SPRINGFIELD, Mo. (KY3) - Prior authorizations are standard this time of year as insurance changes. They’re essentially a request from your insurance asking for more information before agreeing to ...

“We are thrilled to deepen our partnership with Music Worcester in bringing the extraordinary artists of Sphinx Virtuosi to the state-of-the-art concert hall at The Prior ... Form/s is a musical ...

Blue Cross Blue Shield payments to about 6 million people are set to go out more than two years after the health insurer reached a $2.67 billion settlement with subscribers. Notices of payments to ...

The settlement website shows examples of legitimate forms that were sent. This isn't the only large-scale settlement Blue Cross Blue Shield has reached in recent months. It also has agreed to pay ...

But the defendants — Blue Cross Blue Shield Association and Blue Cross and Blue Shield companies — deny all wrongdoing. A court hasn’t decided whether either party is right or wrong ...