California is one of 31 states that passed laws in 2025 limiting insurance companies’ use of prior authorization to approve ...
Dana Kelso Spradling says she's dealing with an insurance nightmare, after the medication she had already received a prior ...
While the cost of health care remains the dominant worry among Americans, the process of obtaining prior authorization from ...
"Medically necessary" is often a four-letter word for patients.
Some medical procedures and treatments require prior authorization from your health insurance company, meaning you'll need pre-approval before you can receive care. This episode, health care reporter ...
A man with leukemia wrestles with his insurance company for access to medications to manage his excruciating pain. An oncologist is forced to delay needed treatments while arguing for health insurance ...
Prior authorization (PA) is a widely used insurance mechanism intended to ensure cost-effective, evidence-based care. However, in practice, it often imposes significant administrative and clinical ...
As doctors, we do our best to spend time with patients and make medical decisions that are best for their health. These days, insurance companies are making it increasingly difficult to do both. They ...
Christopher Marks noticed an immediate improvement when his doctor prescribed him the Type 2 diabetes medication Mounjaro last year. The 40-year-old truck driver from Kansas City, Missouri, said his ...
MONDAY, March 19, 2018 -- The scenario may sound familiar: Your doctor sends your prescription electronically to the pharmacy, and you go to pick it up. Only you can't, because the insurance company ...
Colin J. Haller was smart, funny, ambitious and athletic. And he was just 25 when he was diagnosed with metastatic melanoma. The Maryland native had already launched a successful internet marketing ...
Permission to Practice: Doctors, patients say insurance prior-authorizations put profits over people
InvestigateTV also contacted a healthcare information educator in Louisiana, Jacqueline Jones, who replicated a portion of the team’s research. Jones looked at sub-set of tests and procedures and the ...
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