3+ week, 4+ day ago   (141+ words) Your guide to planning and enjoying a financially secure and richly rewarding retirement, sent three times a week. Out-of-state ER visit? Emergency in Europe? Find out what your Medicare plan actually covers before you take off. Whether you’re planning a…...

2+ day, 14+ hour ago   (382+ words) Physicians devote the early part of their careers to education and training. They spend years honing and refining their clinical skills through medical school, internships, residencies and fellowships. Finally, they are ready and eager to step out on their own…...

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…...

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…...

2+ week, 4+ day ago   (126+ words) Who wins and who loses when the government picks up the tab for healthcare? A Medicare card is seen on Monday, June 10, 2024, in Portland, Ore. Jenny Kane / Associated Press As the election heats up, one of the key issues on…...

4+ week, 1+ day ago   (268+ words) Ronald Chen, Professor and Chair of the Department of Radiation Oncology at the University of Kansas Medical Center, shared on LinkedIn: ”It’s not uncommon for insurance companies to deny medically-necessary cancer treatment for a patient. It’s a burden for both…...

1+ week, 4+ day ago   (29+ words) Modern Healthcare UnitedHealthcare cuts hundreds of prior authorization requirements UnitedHealthcare is targeting a 30% reduction in prior authorization volume by year's end....

1+ week, 5+ day ago   (197+ words) Sept 1 (Reuters) – UnitedHealth’s insurance unit said on Tuesday that a broad range of conditions will no longer need prior approval, ​effective October 1, as it aims to ‌eliminate prior authorization for 30% of healthcare services by the end of this year. • The…...

1+ week, 3+ day ago   (599+ words) The codes span a broad range of services across multiple specialties, including oncology and cardiology, orthopedic and musculoskeletal procedures and genetic and lab testing. Providers generally loathe prior authorization, a controversial process requiring them to get an insurer’s OK before…...