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News
Controversial sale of 20 Norfolk County Council-owned care homes hit by further delay
1+ day, 2+ hour ago (349+ words) The controversial sale of 20 council-owned Norfolk care homes to a private healthcare company has still not been completed - more than six months after county councillors paved the way for the contentious deal. And the delay has forced Norfolk County Council…...
Medicare update: List of insurers denying the most patients standard care
1+ day, 18+ hour ago (647+ words) Aug 14, 2026 at 06:28 PM EDT Health insurers participating in Medicare Advantage, Medicaid managed care and Affordable Care Act (ACA) marketplace plans denied at least one in eight standard prior authorization requests last year, according to a new analysis from KFF. The…...
Ronald Chen: The Burden of Prior Authorization in Cancer Care - OncoDaily
2+ day, 31+ min ago (268+ words) Ronald Chen, Professor and Chair of the Department of Radiation Oncology at the University of Kansas Medical Center, shared on LinkedIn: ”It’s not uncommon for insurance companies to deny medically-necessary cancer treatment for a patient. It’s a burden for both…...
Prior authorization denials vary widely among insurers, first-of-its-kind data shows
2+ day, 37+ min ago (367+ words) KFF analyzed new federal prior authorization data and found significant variation in how insurers handle requests across Medicare Advantage, Medicaid, and the ACA markets. The CMS issued a final rule in 2024 aimed at streamlining prior authorization processes for insurers. Although…...
Insurer Denials Rise In Medicare Advantage, Medicaid, And Obamacare Plans
2+ day, 1+ hour ago (118+ words) iHeart The federal government now requires insurers to publish these prior authorization figures as part of a push for greater transparency and accountability. The Centers for Medicare and Medicaid Services (CMS) began mandating public reporting of these metrics in 2026 as…...
At 72, He Tried to Leave Medicare Advantage. His Heart Medication Blocked the Medigap Policy He Needed.
2+ day, 4+ hour ago (552+ words) Medical underwriting in 46 states permanently blocks most retirees from switching to Medigap after the 6-month open enrollment window at age 65 closes. Advantage plans save roughly $2,000 annually in healthy years but out-of-network care and prior authorization denials can push real costs…...
Inovalon Research Identifies Preventable Drivers of Claim Denials and Prior Authorization Delays
2+ day, 22+ hour ago (263+ words) HIT Consultant What You Should Know - An Inovalon national survey of over 400 revenue cycle management (RCM) leaders by Inovalon reveals that healthcare’s most costly billing problems begin before a claim is ever submitted. - Front-end workflow breakdowns drive 78% of denied claims,…...
Cambridgeshire and Peterborough spends most on prescriptions, data reveals
2+ day, 13+ hour ago (285+ words) People in Cambridgeshire and Peterborough spend the most on prescriptions, nearly £380 per person each year, new data reveals. A new study by Cured Pharmacy has revealed that the Cambridgeshire and Peterborough Integrated Care Board (ICB) tops the national ranking for…...
Insurer Denials High In Medicare Advantage, Medicaid And Obamacare, Report Says
3+ day, 32+ min ago (411+ words) Health insurers denied "at least 1 in 8 standard requests" when prior authorization was required across Medicare Advantage, Medicaid and Obamacare plans last year, KFF said in an analysis published August 13, 2026. Health insurance companies denied "at least 1 in 8 standard requests" when prior…...
Prior Authorization Continues to Get More Scrutiny, But Little Action Taken by Policymakers to Address Problems
2+ day, 22+ hour ago (343+ words) Advancing Access to Medicare and Healthcare Report – Insurers Denied an Average of up to 18% of Prior Authorization Requests New Report Calls for Federal Ban on Prior Auth This month, the American Economic Liberties Project (AELP) released a report titled “BAN…...