State insurance regulators unveiled sweeping prior authorization reforms that would scrap pre-approval requirements for "many ...

WASHINGTON — When Amanda Boley suffered cardiac arrest, she needed life-saving emergency transport to the nearest trauma center. Six weeks later, while still recovering, she received a $65,000 bill ...

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 ...

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 ...

There's a hidden industry is making money by turning down doctors’ requests for payments, known as prior authorizations. A KFF survey found that roughly 6 in 10 insured adults have experienced ...

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 ...

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 ...

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 ...

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 ...

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 ...