An Illinois federal district court, applying Illinois law, has held that an insurer adequately stated a claim for rescission of a professional services policy where underlying litigation revealed that ...

Aligning electronic data submission requirements for prior authorizations is one prong of the insurance industry’s commitment ...

Centers for Medicare & Medicaid Services Administrator Dr. Mehmet Oz listens to Secretary of Health and Human Services Robert F. Kennedy Jr. speak during a news conference to discuss health insurance ...

UnitedHealth Group and CVS Health have standardized data and submission rules for more than half of their prior ...

Prior authorization forces doctors to spend 13 hours a week fighting insurers. New federal rules are changing that. Here's what you need to know.

InvestigateTV also contacted a healthcare information educator in Louisiana, Jacqueline Jones, who replicated a portion of the team’s research. Jones looked at sub-set of tests and procedures and the ...

Several dozen insurers — including insurance giants UnitedHealthcare, Elevance, Aetna, Cigna and Kaiser Permanente — announced Monday that they will make “prior authorization,” a practice that many ...

An oft-repeated phrase dating back to the fourth century B.C. is that physicians should "first do no harm" when treating patients. In the present day, insurance companies - which report to their ...

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 ...

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 ...

On July 18, 2017, the U.S. Court of Appeals for the Second Circuit adopted the New York Court of Appeals’ previous holding that the “all sums” provision in the insuring agreement permits an insured to ...