Patient advocates are in the process of identifying “low-value codes,” Oz said, that should not require preapproval, but it ...

CommonSpirit Health, a parent company of CHI St. Vincent, has named Bob Sarkar as interim market vice president of population ...

Insurers say the changes will improve access and reduce delays in treatment, but critics warn this is a voluntary pledge, not ...

Some Aetna HMO patients could lose access to Sutter Health and be moved to Dignity Health Dominican if Aetna and Sutter don't ...

Phil Galewitz, senior correspondent, covers Medicaid, Medicare, long-term care, hospitals, and various state health issues.

More than 40 payers have voluntarily committed to significant prior authorization reforms, but will this time be any different?

Dozens of major insurers — including Cigna, Aetna, and UnitedHealthcare — have pledged to reform the prior authorization process.

Health and Human Services Secretary Robert F. Kennedy, Jr. and Centers for Medicare& Medicaid Services Administrator Dr. Mehmet Oz today met with industry leaders to discuss their pledge, to ...

Prior authorization refers to when medical providers have to get approval from insurers before performing a service. Patients ...

The firms are asking anyone who received the text message or email to keep their messages and are encouraging residents to ...