House Republicans plan to reintroduce legislation that would reform how North Carolinians are affected by health insurers' prior authorization policies for treatments, medications and procedures. The ...

Aetna, Blue Cross Blue Shield N.C., Cigna and Humana require prior authorizations ... up in a byzantine authorization process.” “They often suffer in the form of wasted time, higher out ...

What insurance company is Lucent Health? Lucent Health is a third-party administrator (TPA) that provides cost containment ...

Amanda Watson was diagnosed with breast cancer three weeks after having an emergency cesarean section to deliver her second ...

Aetna, Centene and Kaiser Permanente denied at least one in 10 Medicare Advantage prior authorization requests in 2023, according to a KFF analysis published Tuesday. Across the industry ...

This month, lawmaker introduced or were drafting separate bills restricting health insurers’ ability to require prior authorization for certain treatments and medications.

When Lou and Lindsay Volpe’s son was diagnosed with a chronic bowel disease at age 11, their health insurer required constant ...

Insurance companies may require what’s known as prior authorization for medical services before they will cover it. The ...

Sen. Tyler Johnson has again authored a bill in the Indiana General Assembly that would put some reins on “prior ...

Prior authorization requirements are a hallmark of American health care — and for some, they’re long overdue for reform. In North Carolina, a bill to restrict prior authorization — or even ...

Prior authorization for medical care was started in the mid-1980s as a marketing scheme by health insurance companies. I know. I was in the room where it happened when I was an officer of the ...

them mentality. In Massachusetts, health plans are required by state law to collaborate with physicians to develop medical necessity guidelines used for prior authorization. With this strong ...