COA survey of independent community oncology practices shows insurer requirements delay treatment, override clinical ...
Federal law allows this framework and courts often defer to the insurer’s interpretation if the plan grants discretionary authority. That legal structure makes the medical necessity standard far more ...
Why the debate matters.
Medicare Advantage plans have been changing the last few years, and more changes seem likely for 2027. There also are some ...
"attachment_123647" align="aligncenter" width="499"] Piedmont HealthCare CEO Jeff Smith testifies in Washington, D.
Dana Kelso Spradling says she's dealing with an insurance nightmare, after the medication she had already received a prior ...
Among the more than half of practices surveyed that lost a physician to burnout in the last 3 years, three-quarters said "regulatory burden" played a role, said Jeffrey Smith, MBA, of the Medical ...
MINNEAPOLIS, MN, UNITED STATES, January 20, 2026 /EINPresswire.com/ -- Itiliti Health, a leader in prior authorization ...
Assistant Secretary for Technology Policy Thomas Keane announced HHS' achievements during the ASTP/ONC's 2026 Annual Meeting.
California is one of 31 states that passed laws in 2025 limiting insurance companies’ use of prior authorization to approve ...
Q4 2025 earnings call recap: revenue growth, 2026 guidance, Category 1 CPT impact, and BENEFIT-HF trial upside—read key takeaways.
New Medicaid prior-authorization rules have advocates in Connecticut concerned about patients losing access to their prescription drugs.
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