Woman Petitions Health Insurer After Company Approves — Then Rejects — Her Infusions
(By Lauren Sausser for KFF Health News) When KFF Health News published an article in August about the “prior authorization
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Prior Authorization
New CMS prior authorization rule takes effect
(By Andrew Cass for Becker’s Hospital Review) A new CMS rule aiming to streamline Medicare Advantage and Part D prior authorizations
Read MoreBipartisan anger over Medicare Advantage denials on the rise
(By Rylee Wilson for Becker’s Hospital Review) Concerns about Medicare Advantage denials are on the rise in Washington, Politico reported
Read MoreLawmakers are scrutinizing managed care
(By Rylee Wilson for Becker’s Hospital Review) Federal lawmakers have been probing payers on a variety of issues in recent
Read MoreConsumer Problems with Prior Authorization: Evidence from KFF Survey
(By Karen Pollitz, Kaye Pestaina, Lunna Lopes, Rayna Wallace, and Justin Lo for the Kaiser Family Foundation Published: Sep 29,
Read MoreCigna ends prior authorization requirements for 25% of procedures
(By Rylee Wilson for Becker’s Hospital Review) Cigna Healthcare has removed prior authorization requirements for more than 600 medical procedures,
Read MoreDoctors and Patients Try to Shame Insurers Online to Reverse Prior Authorization Denials
(By Lauren Sausser for KFF Health News) Sally Nix was furious when her health insurance company refused to pay for
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