Considerations for insurance preauthorization and reauthorization are explored by a key opinion leader. Paige Nues: Many families are learning new language, such as Medicaid and the waiver system, and ...

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

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 ...

A man with leukemia wrestles with his insurance company for access to medications to manage his excruciating pain. An oncologist is forced to delay needed treatments while arguing for health insurance ...

As doctors, we do our best to spend time with patients and make medical decisions that are best for their health. These days, insurance companies are making it increasingly difficult to do both. They ...

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 ...

Colin J. Haller was smart, funny, ambitious and athletic. And he was just 25 when he was diagnosed with metastatic melanoma. The Maryland native had already launched a successful internet marketing ...

A lot has been said about the outpouring of social media posts in the wake of the killing of insurance company CEO Brian Thompson earlier this month, with many of the posts describing horror stories ...

Some of the nation’s largest insurance providers are pledging to make major reforms to the prior authorization process, a practice requiring insurance company sign-off for certain treatments that ...

Even before the COVID-19 pandemic, the prior authorization process had become the bane of doctors and patients. Physicians say that health insurers’ authorization requirements, which can delay the use ...

Linsi Franklin of Wake County describes her struggles getting her son's medicine approved at a news conference on insurance company prior authorization. (Photo: Lynn Bonner) As a young boy was dealing ...

ASC leaders are often frustrated over their interactions with insurance companies. Anthony Romeo, MD, executive vice president of the Musculoskeletal Institute of Duly Health and Care in Elmhurst, Ill ...