Doctors say getting procedures pre-authorized by insurance can lead to delays and sometimes deny patients needed care. A new law in New Hampshire aims to reform the process. Medical treatments often ...

Massachusetts regulators would eliminate many prior authorization rules, speed urgent approvals and form a working group to ...

With the murder of the UnitedHealthcare CEO sparking a debate on insurance companies denying treatment, a state lawmaker says it is time for New Jersey to give doctors the final say over which tests ...

HARRISBURG, Pa. (WHTM) — A solution to a long-running problem? Or a cure that’s worse than the disease? Depends on who you ask. Insurance pre-authorization — or “utilization management,” as the ...

CLEVELAND — Nearly all health insurers use "prior authorization requirements," meaning your health provider has to prove why you need what they're prescribing to your health insurer. Health insurers ...

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 ...

Canton-area residents report care delays because of prior authorizations and denials. The Ohio State Medical Association has recognized physicians' growing discontent with third-party administrative ...

A hospital that offers free insurance pre-authorization services to doctors and patients who need imaging tests "could potentially" be doing so in violation of federal anti-kickback statutes, says an ...

ELK RIDGE, Utah County – Last summer, Neal Meredith had blood clots in his legs. "'We need to get you in now,'" Meredith said doctors told him. "'It's urgent enough. It's an emergency.'" But even ...

Delaware Insurance Commissioner Karen Weldin Stewart has fined Blue Cross Blue Shield of Delaware $325,000 due to deficiencies in the health insurer’s nuclear cardiac imaging testing pre-authorization ...

New law will reduce pre-authorization delays in some cases, lawmakers pressing for more A new state law that will take effect Jan. 1, will reduce insurance pre-authorization delays by requiring ...