Kennedy announces that health insurers agreed to modify the prior authorization procedure.
Health Insurers Commit to Streamlining Pre-Approval Process WASHINGTON – Health and Human Services Secretary Robert F. Kennedy Jr. announced on Monday that the leading health insurance company in the U.S. is planning to simplify the pre-certification process. This change aims to address the delays and denials of care that often frustrate patients. Pre-authorization serves as […]
HHS encourages insurers to commit to reducing prior authorization requirements.
On Monday, federal health officials showcased commitments from the health insurance sector aimed at simplifying and reforming the pre-authorization process for Medicare Advantage. Robert F. Kennedy Jr., the Director General of Health and Human Services (HHS), and Mehmet Oz, Administrator of the Centers for Medicare and Medicaid Services, held a roundtable with insurance executives who […]
Major health insurers promise to simplify prior authorization procedures after delays and patient feedback.
Health Insurance Companies Aim to Streamline Care Processes The top health insurance firms in the country are taking steps to address and improve issues that have contributed to delays in patient care and associated complications. UnitedHealthcare, Aetna (part of CVS Health), along with numerous other insurers, have announced plans to narrow the types of medical […]
Health insurers vow to make the care preapproval process easier.
Health Insurance Industry Announces Changes to Pre-Approval Process Months after many health insurance executives faced public backlash regarding medical denials, the industry revealed on Monday plans to “rationalize, simplify and reduce” the pre-approval process. According to a statement from the Blue Cross Blue Shield Association and AHIP, dozens of health insurance companies that serve 257 […]
U.S. health insurers announce plans to simplify the disputed care approval process.
Changes to Pre-Approval Process by Major Insurance Companies In light of recent developments, a commitment has been made to expedite and simplify advance approvals in the health insurance sector. This decision was announced on Monday by major U.S. health plans. Advance approval, or pre-approval, allows healthcare providers to secure permission from a patient’s insurance before […]
A brain surgeon’s conflict with UnitedHealthcare reveals the insurer’s tough strategies.
Several attorneys interviewed by NBC News examined loan agreements purportedly established as bonding contracts involving Mazzola and other doctors. They noted that Mazzola faced loan repayments due to a cyber incident—triggered by Change Healthcare’s insufficient security—which skewed the terms heavily in favor of the lender. Consequently, the aggressive push by UnitedHealth Group for loan repayments […]
Oregon health insurers announce expected premium hikes for individuals and small businesses in 2026
Premium Increases for Oregonians’ Health Coverage Residents of Oregon who purchase health coverage through small businesses are facing premium increases next year. This change is part of the proposed adjustments from local health insurance companies for the 2026 Health Plan, with an average hike of around 10% for individuals and more than 11% for small […]
Kathy Hochul called on insurers to compensate victims of child sexual abuse
An advertising campaign is putting pressure on Governor Kathy Hochul to compel thousands of alleged victims of sexual assault to cover claims for various organizations, including churches, hospitals, schools, and the Boy Scouts, under the Child Victims Act. Victims who were reportedly abused as children decades ago have taken legal action against numerous organizations for […]
Health insurers seek higher health plan premiums due to increasing health care expenses.
Vermont Health Insurers Seek Premium Hikes Two health insurance companies in Vermont are aiming to increase premium rates for plans available in the state market for 2026. Specifically, Blue Cross Blue Shield is proposing a 23.3% hike for individual plans and 13.7% for small group plans. Meanwhile, MVP, another company operating on the exchange, is […]
U.S. Prosecutors Accuse Large Insurers of Paying Kickbacks for Private Medicare Plans – The New York Times
The Justice Department accused three of the nation's largest health insurance companies of paying illegal kickbacks in hundreds of millions of dollars over several years to insurance brokers who led people to private Medicare plans. Federal prosecutors also accused the two insurers of conspired with brokers to discriminate against people with disabilities by blocking enrollment […]