COLUMBUS, Ohio — A company that’s one of dozens that the Ohio Department of Medicaid is suspending payments to, classifying them as high-risk, is now fighting back. On the same day that top officials ...

Prior authorization, where clinicians have to receive approval from insurers before offering certain services or medications, has become a controversial practice among providers, who argue it creates ...

Health insurance giant UnitedHealthcare said on May 5 it will eliminate prior-approval requirements for 30% of health care services amid complaints that administrative tasks delay or deny people care.

The company said, by the end of 2026, it will remove prior authorization requirements for certain outpatient surgeries, diagnostic tests such as echocardiograms, and some outpatient therapies and ...

For years, prior authorization has remained among the most contentious pressure points between payers and providers, but those tensions may finally be seeing tangible improvement. Over the last year, ...

UnitedHealthcare is eliminating authorization requirements for 30% of healthcare services that previously required insurer approval, the nation's largest insurer said. Prior authorization is currently ...

Aimee Picchi is the associate managing editor for CBS MoneyWatch, where she covers business and personal finance. She previously worked at Bloomberg News and has written for national news outlets ...

CAQH data from 600 organizations covering 63% of insured lives quantify $20B+ additional annual savings achievable by shifting remaining manual administrative transactions to fully electronic ...

April 24 (Reuters) - UnitedHealth (UNH.N), opens new tab and CVS Health (CVS.N), opens new tab said on Friday they have standardized data and submission requirements for more than half of their prior ...

UnitedHealthcare’s commercial business is planning more prior authorization rollbacks and wants to be seen as a better partner to the health systems it negotiates with, the unit’s CEO and CFO said at ...

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