Health care providers have long expressed dissatisfaction with the time they spend coordinating care with health plans and getting paid. Indeed, one of the most inefficient and costly processes for ...

The nation’s major health insurers are promising to scale back and improve a widely despised practice that leads to care delays and complications. UnitedHealthcare, CVS Health's Aetna and dozens of ...

LOUISVILLE, Ky. (WAVE) - It can be extremely stressful when you need medical care or high-priced medication, and your health insurer denies what your physician has ordered. Roshan Patel is the CEO and ...

The nation’s major health insurers are promising to scale back and improve a widely despised practice that leads to care delays and complications. UnitedHealthcare, CVS Health’s Aetna and dozens of ...

Don't rush to pay out of pocket if your health insurance denies a test, treatment, or medication your doctor says you need. Consumer Reports says you have a guaranteed right to appeal that decision— ...

Insurers may ask if something is “medically necessary” before approving a claim. These companies may also deny coverage if something isn’t deemed so. Here’s what this means and what you can do about ...

Insurance claim denials have risen 16% from 2018 to 2024, affecting access to essential medications like insulin and albuterol. Denials often result from formulary exclusions, step therapy, and ...

Many Americans are struggling to pay their medical bills due to inadequate health insurance coverage or claim denials at the hands of private insurers. Insurers deny between 10% and 20% of health care ...

Forty-eight insurers, including major players, pledged to reform prior authorization processes to improve patient care access. The initiative includes technology standardization, reducing PA ...

Sairohith Thummarakoti, industry advisory board member at Texas A&M University–Kingsville, tells MobiHealthNews about his upcoming session at the 2026 HIMSS Global Health Conference & Exhibition in ...