A year ago, the fatal shooting of a health insurance executive on a Manhattan sidewalk unleashed many Americans’ pent-up frustration with insurers’ delays and denials of care. UnitedHealthcare CEO ...

Mehmet Oz, chief of the Centers for Medicare & Medicaid Services, said during a June press conference that “violence in the streets” had prompted the Trump administration to take on the issue of prior ...

Insurance companies often make doctors ask their permission before treating patients. This template can help medical professionals explain how it works. By Ron Lieber Ron Lieber will update this ...

Wegovy (semaglutide) is an injectable medication that’s FDA approved for weight loss and other uses. Your health insurance may deny coverage for Wegovy, but you can still access it through an appeal ...

The Food and Drug Administration on Wednesday authorized updated COVID-19 vaccines, but limited their use for most age groups and rescinded the emergency use authorization that made shots available ...

When Sally Nix found out that her health insurance company wouldn’t pay for an expensive, doctor-recommended treatment to ease her neurological pain, she prepared for battle. It took years, a chain of ...

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The Centers for Medicare & Medicaid Services June 27 announced the rollout of a 6-year technology-enabled prior authorization program pilot. Through the Wasteful and Inappropriate Service Reduction ...

When your doctor decides you could benefit from a particular test or procedure, your insurance company might require documentation to prove it's necessary before agreeing to pay for anything.

Large health insurance companies vowed to cut down the use of and improve a common tool to vet requests before letting doctors bill for medical services or prescriptions. UnitedHealthcare, Blue Cross ...

Identity access management (IAM) tools, crucial for cybersecurity, have become highly sought-after due to rising identity-related breaches. A study from Varonis found that 57% of cyberattacks start ...

WASHINGTON — Health and Human Services Secretary Robert F. Kennedy Jr. said Monday that the country’s largest health insurers have promised to take steps to streamline the often-criticized prior ...