The board would require that board-certified physicians make determinations about whether care is medically necessary.

Members the US House of Representatives are calling on the CMS take action to address growing concerns with the Medicare Advantage plans.

The fatal shooting of UnitedHealthcare CEO Brian Thompson prompted both grief and public outrage about the ways insurers deny ...

Millions of Americans rely on physical and occupational therapists to regain strength and motor skills after operations, ...

Ekirch said specialists have suggested that a series of infusions made from blood plasma called intravenous immunoglobulin — ...

A bill to reform prior authorization requirements for Medicare Advantage (MA) – a massive burden that nursing home operators have been trying to change ...

In fact, in a 2023 survey by the American Medical Association, 93% of physicians surveyed said this prior authorization process had delayed their patients' treatments, 78% believed delays due to ...

This year’s findings reveal that the prior authorization process has a negative impact on care, frustrates physicians, and can increase costs for patients and time for physicians. Notably, according ...

They represent the next step in our ongoing efforts to modernize the prior authorization process and simplify the health care experience for members and health care professionals.” The families ...

“These changes … represent the next step in our ongoing efforts to modernize the prior authorization process and simplify the health care experience for members and health care professionals,” ...

UnitedHealthcare is eliminating prior authorization requirements for certain home health services provided under Medicare Advantage plans as part of a larger push to cut prior authorization volume by ...