The WISeR model – intended to reduce spending on seniors in traditional Medicare through Wasteful and Inappropriate Service Reduction – will require prior authorization in traditional Medicare for a ...
Patients and doctors turn to AI tools to challenge denied claims, navigate medical bills, and improve access to care.
MedPage Today on MSNOpinion
After Series of Denials, His Insurer OK'd Recommended Cancer Care. It Was Too Late.
None of the initial treatments prescribed by his doctors had eradicated the cancer. But a glimmer of hope came in early 2025, ...
Lawmakers argue the CMS innovation center pilot, which will implement AI-backed prior authorization for some services in six states, will add red tape and limit access to care.
The case of one Maine woman shows how prior authorization rules can block coverage for even simple, medically necessary care.
Dozens of health insurance companies pledged on Monday to improve prior authorization, a process often used to deny care. The ...
UnitedHealthcare is fully committed to supporting its members by providing access to advanced assistive technology, as ...
Beginning Jan. 1, 2026, Optum Rx, the pharmacy benefit manager of UnitedHealthcare, will reduce reauthorizations for an ...
The AI arms race reshaping healthcare intensifies friction between payers and providers, impacting revenue cycles and patient care efficiency.
Cancer patients, oncologists and advocates tell Rhian Lubin why the US health insurance system needs urgent reform, and is ...
Some results have been hidden because they may be inaccessible to you
Show inaccessible results
Feedback