Medicare Advantage plans use prior authorization to manage health care use. In recent years, these practices have come under intense scrutiny from policy makers. Using beneficiary enrollment data and ...

One in three people get hit with a denial of coverage, but there are smart and effective ways to appeal.

Over four consecutive days in January, Margaret Hvatum ran a 5K, a 10K, a half-marathon, and a full marathon. The 70-year-old ...

Delaware is using funding from last year's Republican budget law to launch a first-of-its-kind effort to standardize and ...

She uses a large syringe to draw the medicine from a vial and loads the syringe into a plastic apparatus that looks like a ...

A new CMS proposed rule would reduce the burden of prior authorizations by further shortening payer decision timeframes and ...