According to bill sponsors, Senate bills 315 and 316 are meant "to bring down the cost of healthcare in the state and ...

As the deadline has neared during the last few months, the once-private negotiations have become a matter of public interest. In February, MU Health Care announced it would no longer accept Anthem's ...

HOUSE DEMOCRATS NEWS RELEASEThe first session of New Mexico’s 57th Legislature came to a close at noon, Saturday, concluding ...

There isn’t a specific form your healthcare professional needs to fill out to request prior authorization. They can submit their request directly to Medicare by fax or mail, through the ...

Prior authorization is one of the few tools to keep health care costs in check, ensuring that treatments are medically ...

The representatives from the Leukemia & Lymphoma Society and HIV+Hepatitis Policy are asking state insurance regulators to ...

As you and your doctor talk about a treatment plan for the medical issue you came to discuss your assumption is that there ...

If you or someone you know has ever experienced the frustration of a delayed medical procedure or a denied prescription due ...

Silna Health, which uses AI to manage prior authorization, benefit checks and eligibility verification, today announced it has raised $27 million in total funding. The company's $22 million Series A ...

While the governor's bill to repeal the Certificate of Need process died in February, some delegates are making a stab at doing away with CON for what they term micro-hospitals. And as with the prior ...

The guidelines were designed for physicians and other clinicians and related to adults with acute episodic migraine headache (defined as 1 to 14 headache days per month) managed in outpatient ...