There's also been a 15% reduction in prior authorizations for Medicare Advantage since June, when about 50 plans signed on to the reform pledge, Fierce Healthcare reported. In other industry news: ...

Health insurers say they've cut pre-treatment claim reviews by 11% in the past year after committing to streamlining ...

Last summer, major payers committed to pare back onerous prior authorization policies, to the skepticism of providers. Now, ...

Last summer, the insurance industry broadly agreed to reform a major healthcare pain point: prior authorization. | Last ...

Major U.S. insurers cut prior authorization requirements by 11%, including over a 15% prior authorization across Medicare Advantage. Read more here.

There are three key ways to reduce the administrative burden in the US health care system.

Disputes between health insurers and medical providers are on the rise. A major health insurer beats expectations by aggressively controlling medical costs, while hospitals struggle to maintain their ...

Supporters say a bill working its way through the Iowa Senate could speed up the process insurance companies and government-run insurance programs require before approving a patient’s medical ...

Imagine you and your gastroenterologist have discussed a new ulcerative colitis (UC) treatment plan that promises to reduce your symptoms and the stress that comes with them. Then, when you go to ...

Artificial intelligence has become healthcare’s favorite scapegoat, especially in insurance. Every denied claim, every delayed approval, every inexplicable “not medically necessary” response seems to ...

Semaglutide (GLP-1) drugs like Ozempic are designed to treat type 2 diabetes, but are widely known for their effect on weight loss. Credit: Shahrzad Rasekh / CT Mirror Groups representing low-income ...

Health insurance companies increasingly require medical providers to obtain approval before delivering the costliest forms of treatment to patients. This has helped curb wasteful expenditure but also ...