A lot has been said about the outpouring of social media posts in the wake of the killing of insurance company CEO Brian Thompson earlier this month, with many of the posts describing horror stories ...

Insurance companies deny cancer treatment claims for several reasons: a therapy may be deemed experimental or not yet guideline-concordant, a prior authorization wasn’t obtained, or the plan’s ...

The Centers for Medicare and Medicaid Services aims to overhaul health insurance prior authorizations under a proposed rule published Tuesday. The regulation would require Medicare Advantage, Medicaid ...

Forbes contributors publish independent expert analyses and insights. Jesse Pines is an expert in healthcare innovation and wellness. This voice experience is generated by AI. Learn more. This voice ...

The New Mexico Office of Superintendent of Insurance urges all health insurance consumers to actively monitor the status of any prior authorization requests submitted on their behalf. Prior ...

Several dozen insurers — including insurance giants UnitedHealthcare, Elevance, Aetna, Cigna and Kaiser Permanente — announced Monday that they will make “prior authorization,” a practice that many ...

A woman with multiple sclerosis wanted to be able to walk up the stairs at home without losing her balance. Her doctor prescribed medicine that helped, but then approval from her insurance plan for ...

As doctors, we do our best to spend time with patients and make medical decisions that are best for their health. These days, insurance companies are making it increasingly difficult to do both. They ...

When Paula Chestnut needed hip replacement surgery last year, a pre-operative X-ray found irregularities in her chest. As a smoker for 40 years, Chestnut was at high risk for lung cancer. A specialist ...

Health insurance coverage disruptions in the prior year led to issues with healthcare access and affordability for currently insured cancer survivors, according to an American Cancer Society study ...