Insurance denials of initial attempts to fill brand-name prescription drugs with no generic competitors increased by more than two-thirds from 2018 to 2024, according to a study published online in the Journal of the American ...
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The three largest Medicare Advantage insurers turned down requests for post-hospital care at some of the highest rates among major plans, a federal watchdog has found.
Jun 24, 2026
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A brief research report reviewed the prior authorization rules for Aetna, Humana, and UnitedHealthcare and found little consistency in their prior authorization rules. The findings highlight a fragmented system that may contribute ...
May 18, 2026
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Prior authorization, a process that requires physicians to obtain approval from health care insurers before certain treatments are covered, may keep patients from filling prescriptions for two critical heart failure drugs, ...
Mar 11, 2026
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Medicare has launched a six-year pilot program that could eventually transform access to health care for some of the millions of people across the U.S. who rely on it for their health insurance coverage.
Feb 4, 2026
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As health insurers increasingly turn to AI, researchers explore the promise of efficiency—and the risk of amplifying existing flaws.
Jan 12, 2026
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Rural hospital leaders are questioning whether they can continue to afford to do business with Medicare Advantage companies, and some say the only way to maintain services and protect patients is to end their contracts with ...
Apr 10, 2025
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The U.S. has made great progress in getting more people insured since the Affordable Care Act took effect in 2014. The share of uninsured Americans ages 18 to 64 fell from 18% before the ACA to 9.5% in 2022. And preexisting ...
Dec 17, 2024
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Medicare Part D plans significantly increased restrictions on prescription drugs, excluding more compounds from coverage or subjecting more of them to review before patients could access the treatments, according to a new ...
Mar 4, 2024
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