GoodRx reports that starting January 2026, original Medicare will require prior authorization for certain services in six ...

Access to claims data enables plan sponsors to identify cost drivers, assess the impact of formulary decisions and negotiate ...

Annual changes in Medicare rules, costs and benefits can be challenging, but for the more than 68 million Americans 65 and ...

“Medicare Advantage and Part D plans often change from one year to the next, so people may see changes to their premiums, cost-sharing, coverage of their medications, and their health provider or ...

Therapists treating Medicaid enrollees in Colorado will have to get the state’s authorization to conduct more than 24 sessions with an individual patient in a year, as the department overseeing the ...

An insurance company often requires this type of preapproval for certain services, procedures, prescription medications, and medical supplies. Your healthcare team can often help you navigate this ...

HealthDay News — Many people with cancer get directly involved in prior authorization (PA), often facing substantial time burdens, according to a study presented at the 2025 American Society of ...

Imagine walking into your pharmacy, handing over your prescription and having it denied. Now, imagine that the reason is not insufficient insurance coverage or the wrong dose, but a pharmacist who ...

HONOLULU (HawaiiNewsNow) - The Hawaii Supreme Court has cleared the way for customers of the state’s largest health insurance company to sue over coverage denials that they believe harmed them or ...

After suffering the worst loss in franchise history in a 48-10 blowout against the Minnesota Vikings in Week 3, the Cincinnati Bengals are looking to snap back with a primetime matchup Monday. Jake ...

The parasitic infection — which is actually called Chagas disease but earned the nickname because it’s spread by so-called kissing bugs, or triatomine bugs — drew public attention recently after a new ...