Health Insurance News States Target Health Insurers’ ‘prior Authorization’ Red Tape

As CMS grapples with prior authorization, states step into the void

At least 18 states took action on health insurers’ use of prior authorization this year, a sign that lawmakers aren’t content to wait on federal regulators to step in on a key consumer and provider ... Read More

Prior authorization could stand between you and your doctor’s care and here's what it really means, how delays happen and what do if you’re denied

The idea behind it seems reasonable: Insurers want to ensure treatments are medically necessary before they pay for them. But in practice, it often means delayed appointments, stalled medication ... Read More

Insurers promised to ease a major patient pain point after executive’s murder. Here’s what’s happened

A year ago, the killing of a health insurance executive on a Manhattan sidewalk unleashed many Americans’ pent-up frustration with insurers’ delays and denials of care. Read More

AI vs. AI: Patients deploy bots to battle health insurers that deny care

In North Carolina, the nonprofit Counterforce Health designed an AI assistant to help patients appeal their denied health insurance claims and fight large medical bills. The free service uses AI ... Read More

State Restrictions on Prior Authorization

Many states are enacting restrictions on insurers’ prior authorization policies, but these laws may increase costs and lead to other undesirable consequences. Many states have adopted or are ... Read More

Prior authorization subject of NCOIL model act

Prior authorization has become a hot-button issue in health care, and the National Council of Insurance Legislators will tackle the issue at its annual meeting in November. A draft of NCOIL’s Prior ... Read More

Cancer patients fighting health insurance red tape — for their lives

Cancer patients fighting for their lives — against health insurance red tape - IN FOCUS: EXCLUSIVE: Cancer patients, oncologists and advocates tell Rhian Lubin why the US health insurance system needs ... Read More

Fighting a health insurance denial? Here are 7 tips to help

When Sally Nix found out that her health insurance company wouldn’t pay for an expensive, doctor-recommended treatment to ease her neurological pain, she prepared for battle. It took years, a chain of ... Read More