Forbes contributors publish independent expert analyses and insights. Jesse Pines is an expert in healthcare innovation and wellness. Health insurer prior authorization has increased considerably in ...

In Medicare Part D, prior authorization is called a coverage determination. Specifically, in the case of Part D, prior authorization may also involve a process known as step therapy. This requires you ...

Stay on top of what’s happening in the Bay Area with essential Bay Area news stories, sent to your inbox every weekday. The Bay Bay Area-raised host Ericka Cruz Guevarra brings you context and ...

Discover how the HIPAA Waiver of Authorization permits legal sharing of health data for research while upholding privacy protections. Learn the criteria required for approval.

LOUISVILLE, Ky.--(BUSINESS WIRE)--Humana Inc., a leading health and well-being company, today announced accelerated efforts to approve care requests as quickly as possible and reduce the ...

Medicare Advantage plans say it reduces waste and inappropriate care. Critics say it often restricts coverage unnecessarily. By Paula Span Slowly but steadily, Marlene Nathanson was recovering. She ...

Insurance companies often make doctors ask their permission before treating patients. This template can help medical professionals explain how it works. By Ron Lieber Ron Lieber will update this ...

WASHINGTON — Health and Human Services Secretary Robert F. Kennedy Jr. said Monday that the country’s largest health insurers have promised to take steps to streamline the often-criticized prior ...

Since the beginning of distributed personal computer networks, one of the toughest computer security nuts to crack has been to provide a seamless, single sign-on (SSO) access experience among multiple ...