Ohio is one of six states testing an AI-led prior authorization program for around a dozen medical procedures for patients ...

A Melbourne man who spent three decades fighting crime is now fighting his insurance company. He contacted Action 9 after getting denials for medical testing that his doctor ordered, and he believes ...

Starting Jan. 1, Ohio will be taking part in a pilot program to use artificial intelligence in the approval of prior ...

Doctors are cheering the new federal rule announced Wednesday which will speed up health insurance company decisions on whether to authorize or deny medical care or treatments for millions of patients ...

Health plans change every year, so experts say it's important to take stock during the renewal process and not to assume you'll have the same coverage.

Our health care system is broken on multiple levels. As a medical community, we somehow seem to be hastening its untimely demise by continuing to partake in systems that waste inordinate amounts of ...

UnitedHealth Group and Cigna are revamping their prior authorization processes as new federal regulations aiming to ease the burden on providers and patients loom. UnitedHealthcare will eliminate ...

When Paula Chestnut needed hip replacement surgery last year, a pre-operative X-ray found irregularities in her chest. As a smoker for 40 years, Chestnut was at high risk for lung cancer. A specialist ...

Prior authorizations required by many insurance companies can keep patients from getting the medical supplies they need, according to NPR. Ric Peralta, a patient with Type 1 diabetes, told NPR of a ...

Kentucky House Bill 423, aimed at streamlining prior authorizations for health care, stalled in the Senate despite broad support and no public opposition. Prior authorizations create unnecessary ...

Gov. Jared Polis ordered the Colorado Department of Health Care Policy and Financing to reinstate prior authorization for ...