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 ...

While these policies are meant to control health care costs by steering patients toward lower-priced alternatives, they may ...

BRIDGEPORT, W.Va. — By the time Eric Tennant was diagnosed in 2023 with a rare cancer of the bile ducts, the disease had spread to his bones. He weighed 97 pounds and wasn’t expected to survive a year ...

Health insurers and health care provider organizations are increasingly using artificial intelligence (AI) tools in prior authorization and claims processes. AI offers many potential benefits, but its ...

Why do I need a prior authorization for something that I am already prior-authorized to take? If my doctor says that they want me on a medication, why does my insurance have another say in that?” — ...

"Requiring prior authorization ... is the practice of medicine," said Rep. Neal Dunn, MD ...

Between one-off charges, administrative fees, and office visit copays, some are trying ...

Major health insurers have pledged to improve the prior authorization process, which has long frustrated Americans.

Prior authorization is a major noncost barrier, affecting 69% of insured adults, with 34% citing it as their biggest challenge. Delays and denials from prior authorizations significantly impact mental ...

Recipients of Medicaid frequently face prior authorization hurdles when pursuing medical care or treatment. Medicaid is a joint federal–state public health insurance program that provides healthcare ...

State laws that ban insurance prior authorization for buprenorphine-a leading medication for opioid use disorder-may not help more patients stay in treatment for the recommended minimum of 180 days, ...

The North Carolina Legislative Building, where the General Assembly meets, on Jones Street in downtown Raleigh, N.C. on Sept. 1, 2021 ...