—A recent study investigating factors affecting VA service connection denial for PTSD claims related to military sexual trauma found that citing sexual harassment were more likely to be denied than ...

In a groundbreaking move, the Centers for Medicare and Medicaid Services (CMS) will introduce artificial intelligence (AI) into Medicare's prior authorization process starting January 2026. This pilot ...

Boris Vabson ([email protected]), Harvard University, Boston, Massachusetts. Andrew L. Hicks, Harvard University. Michael E. Chernew, Harvard University. Policy makers have been paying increasing ...

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 ...

MOBILE, Ala. (WALA) - Two words: prior authorization. Without it, your healthcare plan might not pay for your treatment. The doctors makes the request when the patient needs the treatment, like an MRI ...