Payers in 2024 initially denied 11.8% of dollars associated with hospital-based claims, according a report from consultant ...

The company and other insurers have faced backlash from patients who say they were denied necessary care and providers say ...

The current prior authorization process in U.S. healthcare constitutes a crisis, according to Jesse Ehrenfeld, immediate past ...

The health insurance industry counters that prior authorization and other forms of utilization management are critical to constraining national health expenditures and to ensuring that patients ...

UnitedHealthcare said prior authorization is "an important checkpoint" that helps ensure members are receiving coverage for safe and effective care. The company noted it is "continually taking ...

Cleveland-based MetroHealth has improved the speed and success of its medication prior authorization process with the help of AI, cutting submission times from 18 hours to around five minutes and ...

In December 2024, the fatal shooting of United Healthcare CEO Brian Thompson ... Senate prohibits “step therapy,” a form of prior authorization, for certain diagnoses, including multiple ...

1199SEIU United Healthcare Workers East filed a grievance against the operators in 2022, accusing them of failing to give advanced notice or an opportunity to bargain when the raises were phased out.

You must complete and submit the following information: Demographic information and consent to treat Student Health medical provider packet — print this form and ... mail or picked up by the patient.

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