It targets many of the “utilization management” practices insurance companies use to hold down costs by either denying claims or steering patients toward lower-cost options. For example, the bill ...

Findings of a survey of large employers indicate that utilization management tools are ineffective in controlling health care costs for employees and may lead to barriers to treatment. Employer ...

Intelligent prior authorization enables faster access to care and higher quality outcomes for members while enhancing provider experience and improving operational efficiencies BOSTON and CLEVELAND ...

The American Society of Clinical Oncology (ASCO) has raised concerns that utilization management strategies, especially for high-cost prescription drugs, could reduce patient access. Health plans ...

Health systems and health insurance plans spend enormous sums of money battling over how to be paid fairly — and these battles have only intensified with the growth of Medicare Advantage plans, which ...

Health insurance costs are a major factor in an employee benefits package. Here's what to expect from employer-sponsored ...

Health insurance helps to reduce medical costs, making health care more affordable and thus more accessible. Having health insurance also facilitates access to care, resulting in lower death rates and ...

SPRINGFIELD — Gov. J.B. Pritzker celebrated a partial legislative victory Thursday night when the House passed his initiative to end some practices health insurance companies use to control the amount ...