But making sense of the numbers isn't easy, experts say ...

Payers prior authorization denial rates must be publicly reported starting March 31, 2026, improving transparency for Medicare Advantage and ...

Payers are now required to publicly post certain prior authorization metrics, but an initial look at the first set of data offers “little insight into what gets approved or denied, according to an ...

The Office of Inspector General has released a report examining prior authorization patterns from seven managed care companies, and based on the findings is urging increased oversight of prior ...

Does Medicare require prior authorization? Medicare Advantage plans often require prior authorization. But these coverage reviews are rare for original Medicare. That distinction changes in 2026. Many ...

Six months after Eric Tennant died following a protracted battle with his health insurer over doctor-recommended cancer care, ...

It’s a lucrative shakedown if you can get it, and insurers have been getting it since the passage of the 1973 Health ...

When Sally Nix found out that her health insurance company wouldn’t pay for an expensive, doctor-recommended treatment to ease her neurological pain, she prepared for battle. It took years, a chain of ...

Dedicated claims advocates employed by PEOs review medical denials, negotiate facility bills, and connect employees to ...

Six months after a West Virginia man died following a protracted battle with his health insurer over doctor-recommended ...