#prior authorization
8 stories

Paxton Opens UnitedHealth Investigation
Texas AG Paxton probes UnitedHealth for denying medically necessary care.
Dallas Express · 1m

US Medicare Tests AI to Review Care
AI system may deny medical coverage for older Americans under Medicare trial.
Financialexpress · 2m

Texas AG Investigates Blue Cross for Delaying Newborn Care
Texas AG opens probe into Blue Cross delaying critical newborn treatment transfers
Dallas Express · 1m

Trump's AI Medicare experiment denies seniors care
A rushed rollout of artificial intelligence to deny Medicare claims has caused delays, pain, and technical chaos across six states.
Ars Technica · 4m

UnitedHealthcare's prior auth cuts sound bigger than they are
UnitedHealthcare is dropping prior authorization on 1,700 codes, but only about 120 apply to Medicare Advantage members, and approval still isn't guaranteed.
24/7 Wall St. · 2m

AI is denying people medical care
Health insurers are using AI to reject insurance claims, and patients are suffering the consequences.
Vox · 3m

Medicare's hidden drug coverage trap in 2027
Your insurer can quietly add prior authorization to medications you've taken for years. Here's how to spot it before January.
24/7 Wall St. · 2m

AI agents are quietly running healthcare's back office
Agentic AI is taking over the paperwork between a doctor's decision and the care a patient actually gets.
Pymnts · 2m