We know from experience — with Medicare — that the government can administer health insurance better than commercial insurers ...

A new North Dakota law that took effect Jan. 1 requires health insurers to respond to prior authorization requests in a timely fashion. The changes follow reforms seen elsewhere in the country, and ...

Under North Dakota's new law, insurance plans have seven calendar days to provide a decision for non-urgent prior ...

A six-state pilot program will target “wasteful care” under Medicare, Centers for Medicare & Medicaid Services says.

More than 1.3 million policyholders in Florida, including 13,000 in Palm Beach County, were in jeopardy of losing in-network care at Tenet locations at the start of the new year. Tenet operates 50 ...

Health insurance companies are expected to hold to their promises in 2026 to “streamline, simplify and reduce” prior ...

This spring, a team of NBC News reporters began digging into complex insurance systems — including health care, homeowners’ ...

None of the initial treatments prescribed by his doctors had eradicated the cancer. But a glimmer of hope came in early 2025, ...

Weeks pass without a word from your insurance company. You call, you wait, you call again. Eventually, you find out your ...

Prior authorization has long been a sticking point between payers and providers, with payers arguing that it’s necessary to control costs and ensure that care is medically necessary and providers ...

Prior authorization companies are moving into ambient listening, while ambient listening companies are expanding into prior authorization — a trend underscored by yet another partnership bridging the ...