For many physician practices -- especially those working with health maintenance organizations (HMOs) -- obtaining pre-authorization to perform certain treatments or procedures is a necessary evil: ...

SEVEN NEWS. IN OUR HEALTHBEAT. TODAY, DOZENS OF HEALTH INSURANCE COMPANIES ARE COMMITTING TO MAKING IT EASIER FOR PATIENTS TO GET APPROPRIATE CARE. A NEW REPORT SAYS SEVERAL INSURERS WILL SIMPLIFY THE ...

Every American who has ever needed surgery, a scan, or a specialist referral knows the particular dread of those three words: ...

Add Yahoo as a preferred source to see more of our stories on Google. A screen displays the logo fro Cigna Corp. on the floor at the NYSE in New York (Reuters) - Health insurer Cigna Group said on ...

Major health insurers in the U.S. pledged Monday to overhaul the prior authorization process. Prior authorization means insurers require approval before they’ll cover medical care, a prescription or a ...

Delaware Insurance Commissioner Karen Weldin Stewart has fined Blue Cross Blue Shield of Delaware $325,000 due to deficiencies in the health insurer’s nuclear cardiac imaging testing pre-authorization ...

Delaware's Pre-Authorization Reform Act aims to streamline the pre-authorization process for medical procedures and medications. The current process is criticized for being time-consuming, complex, ...

HARRISBURG, Pa. (WHTM) — A solution to a long-running problem? Or a cure that’s worse than the disease? Depends on who you ask. Insurance pre-authorization — or “utilization management,” as the ...