The nation’s biggest health insurance companies are poised to ease prior authorization, the process of insurers reviewing hospital admissions and medications. In a social media landscape shaped by ...

California is one of 31 states that passed laws in 2025 limiting insurance companies’ use of prior authorization to approve ...

State lawmakers want to crack down on an insurance practice that requires people to wait for approval for medical treatments. The practice is known as "prior authorization." Patients often have to ...

The Biden administration finalized a new rule on how insurers can use prior authorization (PA), a practice aimed at reducing unnecessary treatment, but a headache for doctors and patients. The new ...

Prior authorization (PA) is a widely used insurance mechanism intended to ensure cost-effective, evidence-based care. However, in practice, it often imposes significant administrative and clinical ...

"Medically necessary" is often a four-letter word for patients.

Dr. Mehmet Oz, administrator for the Centers for Medicare and Medicaid Services, said during a press conference on Monday that health insurers have "agreed to sheath their swords" and work together on ...

As an emergency room physician, I know that time is one of a medical professional’s most vital resources. You could have a great doctor and a solid treatment plan, and catch the disease at its very ...

Health and Human Services Secretary Robert F. Kennedy Jr. and Centers for Medicare & Medicaid Services Administrator Dr. Mehmet Oz announced Monday that major health insurance companies have agreed to ...

The Connecticut State Medical Society is taking aim at the health insurance industry's practice of prior authorization this legislative session. Prior authorization, also known as "precertification" ...

Step therapy is when Medicare Part D plans ask beneficiaries to try a more affordable drug before approving higher-cost prescriptions. In Medicare, Part D covers general prescription drugs, whereas ...

Health insurance reform, including more timely access for patients, will roll out early next year, Medicaid Services Administrator Dr. Mehmet Oz said Monday. Oz announced these reforms, along with ...