Patients enrolled in some of the nation’s largest Medicare Advantage plans were denied requests for rehabilitation and other critical services at unusually high rates, according to a report released ...
Dr. Debra Shapiro and her staff spend hours in their Cambridge practice each week asking permission from insurers to prescribe their primary care patients certain medications and procedures. The ...
Your browser does not support the audio element. Care management tools and more robust data are giving health plans more influence over discharge planning and ...
UnitedHealthcare has announced that it is removing two-thirds of authorization requirements for pediatric care by year's end. The insurer is eliminating prior authorizations for care for members under ...
UnitedHealthcare plans to remove about two-thirds of its prior authorization requirements for patients under 18 by the end of 2026. The insurer said May 29 the cuts will cover diagnostic services, ...
'How Do You Sleep at Night?': Netizens Rip Into Pam Bondi Prior to High-Stakes Epstein Files Hearing
Amid her battle with thyroid cancer, former Attorney General Pam Bondi will testify before House lawmakers who are investigating late s-x offender Jeffrey Epstein's criminal activities on Friday, May ...
Four major insurers showed almost no overlap in prior authorization requirements and no shared approval criteria or documentation rules, potentially contributing to the time and administrative burden ...
Public provider manuals for Aetna, Humana, and UnitedHealthcare were parsed to identify whether PA was required per HCPCS code and to capture the specific criteria and documentation elements. Criteria ...
McDermott+ is pleased to bring you Regs & Eggs, a weekly Regulatory Affairs blog by Jeffrey Davis. May 14, 2026 – Reforming prior authorization processes has been on the regulatory menu for a while.
Last year over 60 major health insurers pledged to streamline prior authorization processes — but few physicians think these pledges have made a difference in PA burden, according to the American ...
The proposed rule aims to improve prior authorization for prescription drugs by requiring electronic prior authorization, setting deadlines, and promoting transparency through annual reporting. The ...
Health insurance giant UnitedHealthcare said on May 5 it will eliminate prior-approval requirements for 30% of health care services amid complaints that administrative tasks delay or deny people care.
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