reintroduced a bill Thursday seeking to reform prior authorization requirements in Medicare, Medicare Advantage, and Part D prescription ... Medicare Advantage, Medicaid or the ObamaCare exchanges ...

Medicaid plans often put up barriers around newer classes of diabetes medications that offer cardioprotection, according to a ...

Onerous prior authorization requirements waste ... away from the real cost drivers in health care. Cutting Medicaid is the wrong prescription for a better health care system.

Health insurance companies are under increasing scrutiny for allegedly using artificial intelligence bots and algorithms to swiftly deny patients routine or lifesaving care— without a human actually ...

The Centers for Medicare & Medicaid Services (CMS ... it will have to honor the prior authorization,” the department said in a fact sheet released Friday. The CMS is also attempting to help ...

exclude certain prescription medications from prior authorization rules; ensure that emergency mental health care is not delayed for more than 48 hours; and require that insurers' review boards ...

Washington Governor Bob Ferguson signed 23 bills into law in the past week. The bills change laws covering issues from suicide prevention to education funding to vehicle inspections. Sodium nitrite ...

The U.S. senior population is more mobile, tech‑savvy, and value‑conscious than ever before. Nearly 40 million ...

Regulatory delays could hinder Mind Medicine's patient access and market entry. Read why we are initiating coverage on MNMD ...

Knowing the truth is important because prior authorization, a utilization-management tactic that insurers once reserved for extremely expensive intervention, is now employed for even the simplest ...

Lilly also states that vial forms are cheaper than the ... s Preferred Drug List (PDL), people can use Medicaid for the drug without prior authorization. Otherwise, they will need to go through ...

Consumer groups, doctors, state advocates offer advice on what you can do when insurance denies you coverage or bills don't make sense.