An insurance company often requires this type of preapproval for certain services, procedures, prescription medications, and medical supplies. Your healthcare team can often help you navigate this ...

The nation’s major health insurers are promising to scale back and improve a widely despised practice that leads to care delays and complications. UnitedHealthcare, CVS Health's Aetna and dozens of ...

Prior authorization and claims management remain some of the biggest bottlenecks in healthcare, delaying care and straining provider resources. With new CMS initiatives, payer technology upgrades, and ...

Major health insurers in the U.S. pledged Monday to overhaul the prior authorization process. Prior authorization means insurers require approval before they’ll cover medical care, a prescription or a ...

Participating payers reported an 11% reduction in prior authorization requirements overall, with Medicare Advantage exceeding ...