When stakeholders think about prior authorization in the Medicare program, they usually focus on its use in Medicare Advantage (MA), and not how it is used in traditional Medicare. In fact, a few ...

The controversial prior authorization policy for colonoscopies that UnitedHealthcare wanted to put into effect today will not take place, the company said last night in a statement. Instead UHC wants ...

Aetna will roll back a broad pre-certification policy for cataract surgeries that it launched last summer, the insurer tells Fierce Healthcare exclusively. Under the program, Aetna required prior ...

After weeks of protest from physician organizations and patients, UnitedHealthcare has put a controversial new prior authorization policy for gastroenterology procedures on hold. The policy, which ...

How Oso’s security-as-code approach to authorization might change how you think about security Your email has been sent Most developers aren’t particularly good at building authorization into their ...

When gastroenterologists learned in March that UnitedHealthcare plans to barricade many colonoscopies behind a controversial and complicated process known as prior authorization, their emotions cycled ...

Dr. Rajeev Jain takes issue with a new policy from insurance giant UnitedHealthcare requiring advance notification for procedures like colonoscopies. Bet_Noire / Getty Images/iStockphoto Insurers ...

Using Medicare part D claims data from 2010 to 2020, we studied beneficiaries regularly filling one of 11 oral anticancer drugs, defined as three 30-day fills in 120 days preceding the plan's prior ...

Provider groups shared varied reactions to changes that insurance giant UnitedHealthcare is making to its policies for coverage of various gastroenterology procedures, including colonoscopies. In ...