A man with leukemia wrestles with his insurance company for access to medications to manage his excruciating pain. An oncologist is forced to delay needed treatments while arguing for health insurance ...

A six-state pilot program will target “wasteful care” under Medicare, Centers for Medicare & Medicaid Services says.

Christopher Marks noticed an immediate improvement when his doctor prescribed him the Type 2 diabetes medication Mounjaro last year. The 40-year-old truck driver from Kansas City, Missouri, said his ...

Doctors are cheering the new federal rule announced Wednesday which will speed up health insurance company decisions on whether to authorize or deny medical care or treatments for millions of patients ...

Centers for Medicare and Medicaid Services put forth a new set of rules to curb private insurance's use of prior authorization. These new rules will go into effect in 2026 and will impact care for the ...

Many people, at one time or another, have needed to get approval from their insurance company before receiving certain treatments, medications, or procedures to ensure they’re covered. Prior ...

Some of the nation’s largest insurance providers are pledging to make major reforms to the prior authorization process, a practice requiring insurance company sign-off for certain treatments that ...

The idea behind it seems reasonable: Insurers want to ensure treatments are medically necessary before they pay for them. But ...

One of the biggest frustrations in getting medical care — prior authorization from insurance companies — might get easier soon. Some of America’s biggest health insurance companies are now pledging to ...