May 3, 2019, 10:35 AM
PA Coalition for Patient Access Aims to Find Solutions to Out-of-Network Billing Issues
Protecting patients from out-of-network health care billings must start with fixing narrow health insurance provider networks and a lack of insurance product transparency.
Mar 27, 2019, 13:16 PM
Bills on the Hill: Scope of Practice, Telemedicine among Issues Addressed in New Health Care Legislation
Get updates on bills concerning any willing providers, tiered providers, CRNPs, POLST, CRNAs, assault against a health care practitioner, and optometrists.
Mar 20, 2019, 08:45 AM
Bills on the Hill: New Health Care Legislation on Credentialing, Non-Compete Clauses, and More
With the start of a new legislative session, numerous bills have been filed that may affect physicians across Pennsylvania.
May 9, 2018, 12:27 PM
Contractors Can Add To Prior Auth Inefficiency, Say Patients
Patient story shows just how inefficient the prior auth process has become now that many insurers pay third-party companies to review and either approve or deny care.
Mar 15, 2018, 16:42 PM
Impact Prior Auth Debate By Filing An 'Official' Complaint
When physicians believe an unfair prior auth denial has occurred, they should file an official complaint with the Pennsylvania Insurance Department.
Jan 17, 2018, 16:57 PM
Prior Auth Delays Prolong Teenagers’ Arthritis Pain
Thanks to a confusing and convoluted prior authorization process, it took months before a Middletown, Pa., teenager could find relief for his juvenile idiopathic arthritis.
Sep 15, 2017, 12:09 PM
Pittsburgh Man On Insurance Delay: ‘What If I Would Have Died With This?’
Pittsburgh resident Jeff Duncan was convinced he had a sleep disorder when his mother noticed he momentarily stopped breathing while taking a nap in late 2016.
Sep 15, 2017, 12:08 PM
Insurance Prior Auth Delays Eastern PA Man From Weaning Off Opioids
Physicians say the use of prior auth has grown out of control. Few stories illustrate it better than that of Joe Stanziano, who experienced prior auth delays the prevented him from weaning off pain
Sep 15, 2017, 12:08 PM
Prior Auth Delay Allowed Pittsburgh Woman’s Undiagnosed MS to Progress
Kristen O'Toole lived a healthy, active life as communications consultant in Pittsburgh. That changed suddenly and dramatically in 2014 when she experienced back pain.