The challenge of ensuring that all patients have access to affordable, high-quality care will not be solved by setting up ...

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

Q4 2024 Management View President and CEO Joe Zubretsky reported adjusted earnings per share at $5.05 for Q4 2024, with total premium revenue of $10 billion. He acknowledged the quarter fell short of ...

CEO David Cordani suggested Thursday that the moves are a direct response to the slaying of UnitedHealthcare CEO Brian Thompson and the public outcry over the state of health care. Other news is on ...

INDIANAPOLIS — It's a situation anyone visiting their doctor has probably run into at one point. Your doctor says you need a test, procedure or certain drug, but in order for it to be covered by your ...

the AMA found that just 23% of physicians reported that their electronic health system offers electronic prior authorization for prescription medications. Physicians said the phone was the most common ...

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 ...

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 ...

AMA Update covers a range of health care topics affecting the lives of physicians ... a bipartisan effort to include a codification of those prior authorization changes in the form of the Seniors ...

“Their crimes redirected funds from those who needed them most into their own pockets.” Investigators estimate 86% of the pharmacy’s Medicaid billings over five years stemmed from the scheme. The ...