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News
Genesis Healthcare Insurance Denials Dispute Sets Up 2027 Contract Showdown - USA Herald
1+ week, 5+ day ago (771+ words) America ı By Rihem Akkouche A hospital system just drew a line in the sand, and four major insurers are on the other side of it. Genesis HealthCare System has formally notified Aetna, UnitedHealthcare, Medical Mutual of Ohio and CareSource…...
Genesis HealthCare System Takes Steps to Protect Local Care as Insurance Denials Increase - WHIZ - Fox 5 / Marquee Broadcasting
1+ week, 5+ day ago (350+ words) Genesis HealthCare System Takes Steps to Protect Local Careas Insurance Denials Increase WHIZ Genesis HealthCare System Takes Steps to Protect Local Care as Insurance Denials Increase ZANESVILLE, OH – According to a press release, Genesis HealthCare System has notified Aetna, UnitedHealthcare,…...
Insurer Prior Authorization Denial Rates Top 18%: KFF
3+ week, 2+ day ago (287+ words) Efforts to rein in the high cost of health care in recent years often have targeted the use of prior authorization by insurers. Patients and providers argue that it can result in delays or denials in receiving needed care, while…...
Insurance Authority Announces Health Insurance Product Without Pre-Approvals for Outpatient Services
3+ week, 2+ day ago (211+ words) Riyadh, August 20, 2026, SPA -- The Insurance Authority has directed health insurance providers in Saudi Arabia to offer a health insurance product without pre-medical approval requests for outpatient services, as part of its efforts to address a key challenge faced by health…...
Faber Pledges to Fight Wrongful Health Insurance Denials
3+ week, 3+ day ago (21+ words) State Affairs Share with your team Guests can view 10 articles for free...
Prior authorizations are variable across ACA marketplace plans
3+ week, 4+ day ago (320+ words) Summary: A KFF analysis of federally mandated prior authorization data finds that ACA Marketplace insurers denied an average of 18% of standard requests in 2025 and overturned an average of 43% of appealed denials. This dataset lacks the request volumes and service-level detail…...
KFF: Insurers Denied 12%-18% of Prior Authorization Requests in 2025
3+ week, 5+ day ago (291+ words) KFF found that insurers denied 12%-18% of standard prior authorization requests in 2025, with significant variation among insurers and gaps in transparency. In 2025, Medicare Advantage insurers denied 12% of standard prior authorization requests, Medicaid managed care insurers denied 14% and ACA Marketplace insurers denied…...
Zero assurance with health insurance | Letter
4+ week, 14+ hour ago (300+ words) Thank you for publishing the Aug. 9 op-ed by Dr. Jeffrey Barkin (“Time to free doctors from prior authorization”). The insurance maze is morally wrong. The time and energy insurance personnel spend trying not to pay claims for medical needs is…...
Prior authorization denials vary widely among insurers, first-of-its-kind data shows
4+ week, 1+ day ago (367+ words) KFF analyzed new federal prior authorization data and found significant variation in how insurers handle requests across Medicare Advantage, Medicaid, and the ACA markets. The CMS issued a final rule in 2024 aimed at streamlining prior authorization processes for insurers. Although…...