The idea behind it seems reasonable: Insurers want to ensure treatments are medically necessary before they pay for them. But ...

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 ...

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 ...

The Senate health committee on Tuesday mulled creating legislation to regulate how health insurers handle prior authorizations. In a hearing on healthcare administrative costs, Harvard economics ...

Many states and health plans are currently implementing new legislation, so it's more important than ever for self-insured employers and benefits advisors to be on their toes – swift and significant ...

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 ...

In an effort to reduce the number of different prior authorization forms with which providers must contend, the Texas Department of Insurance (TDI) has adopted a single, standard form for requesting ...

HARRISBURG, Pa. (WHTM) — A solution to a long-running problem? Or a cure that’s worse than the disease? Depends on who you ask. Insurance pre-authorization — or “utilization management,” as the ...

Two Triad N.C. House Republicans plan to reintroduce legislation that would reform how North Carolinians are affected by health insurers' prior authorization policies for treatments, medications and ...

The Mississippi Senate passed a bill Wednesday that would streamline the process for doctors in the state to receive prior authorization on procedures from insurance companies. Sen. Walter Michel, R, ...