A defendant’s prior authorization of medical treatment does not bar it from submitting subsequent requests for the same treatment to ...

The Meeting kicked off with the 4th NCOIL Open Insurance Legislators Foundation (ILF) Scholarship Golf Outing on Wednesday afternoon. The annual event helps to invigorate the ILF Scholarship Fund ...

Key Takeaways Medicare Advantage (MA) plans are private, government-approved alternatives to Original Medicare.  They often feature low or no premiums, annual out-of-pocket limits, and extra benefits ...

None of the initial treatments prescribed by his doctors had eradicated the cancer. But a glimmer of hope came in early 2025, ...

While the headaches and life-altering results of insurance pre-authorizations are not new to physicians or patients, lately things have been getting worse. Patients are sending more and more messages ...

Medicare Advantage plans often require prior authorization. But these coverage reviews are rare for original Medicare. That distinction changes in 2026. Many older adults choose original Medicare ...

Does Medicare require prior authorization? Medicare Advantage plans often require prior authorization. But these coverage reviews are rare for original Medicare. That distinction changes in 2026. Many ...

Health insurance companies, which pay for health services of their patrons, can deny coverage of costs if they deem a procedure to be medically unnecessary. This insurer-guided verification of health ...

Taking a page from the private insurance industry’s playbook, the Trump administration will launch a program next year to find out how much money an artificial intelligence algorithm could save the ...

A new federal program asks Ohio doctors to request prior approval from contracted technology companies to get certain medical treatments covered by traditional Medicare. A new federal program called ...