For many physician practices -- especially those working with health maintenance organizations (HMOs) -- obtaining pre-authorization to perform certain treatments or procedures is a necessary evil: ...
SEVEN NEWS. IN OUR HEALTHBEAT. TODAY, DOZENS OF HEALTH INSURANCE COMPANIES ARE COMMITTING TO MAKING IT EASIER FOR PATIENTS TO GET APPROPRIATE CARE. A NEW REPORT SAYS SEVERAL INSURERS WILL SIMPLIFY THE ...
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 ...
(NewsNation) — The nation’s major health insurers are pledging to streamline the prior authorization process, which has long frustrated Americans by delaying care and creating complications. “Patients ...
Major health insurers in the U.S. pledged Monday to overhaul the prior authorization process. Prior authorization means insurers require approval before they’ll cover medical care, a prescription or a ...
Forbes contributors publish independent expert analyses and insights. Bruce Japsen writes about healthcare business and policy. The biggest names in health insurance, including Cigna, CVS Health’s ...
The Traditional Medicare system, long known for its minimal pre-authorization requirements, is on the brink of a major administrative overhaul. The Centers for Medicare & Medicaid Services (CMS) have ...
Delaware Insurance Commissioner Karen Weldin Stewart has fined Blue Cross Blue Shield of Delaware $325,000 due to deficiencies in the health insurer’s nuclear cardiac imaging testing pre-authorization ...