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Rhode Island lawmakers have introduced legislation that would prohibit payers from requiring prior authorization for treatment or services ordered by a patient's primary care provider. The proposed ...

The Cigna Group will invest in making prior authorization faster and simpler in 2025, CEO David Cordani said. On a Dec. 30 call with investors, Mr. Cordani said the shooting of UnitedHealthcare CEO ...

From preliminary approvals to agreements with the federal government, these are five recent legal settlements involving UnitedHealth Group and its subsidiaries. 1. A Minnesota federal judge gave ...

UnitedHealthcare has reached a settlement to resolve three proposed class action lawsuits alleging that the insurer wrongfully denied coverage for a specialized cancer treatment that plaintiffs claim ...

Alabama has the highest average in-network denial rate for ACA insurers, while South Dakota has the lowest, according to KFF. KFF analyzed CMS data on claims denials and appeals for non-group ...

Insurers on the ACA marketplace denied around one in five in-network claims in 2023, according to a report from KFF published Jan. 27. Plans sold on the federal ACA marketplace are required to report ...

The number of prior authorization determinations issued by Medicare Advantage insurers continued to grow in 2023, according to a new report from KFF. The report, published Jan. 29, examines data from ...

Ten providers recently posted job listings seeking leaders in payer contracting and relations. Note: This is not an exhaustive list. Listings were compiled from job-seeker sites. 1. Appalachian ...

CMS has withdrawn its appeal of a judge's decision directing the agency to increase UnitedHealthcare's star ratings for its Medicare Advantage plans for 2025. Attorneys for the agency filed a notice ...

A new California law went into effect Jan. 1 that prohibits payers from making coverage decisions based solely on artificial intelligence algorithms. Under the new law, any denial, delay or ...