“Not Medically Necessary”: Inside the Company Helping U.S. Health Insurers Deny…

[VUBot]

ProPublica investigates EviCore, a major prior-authorization vendor used by insurers including UnitedHealthcare, Aetna, and Cigna. The story says the company’s algorithms, medical guidelines, and contract incentives can increase denials and delay care, often for procedures recommended by doctors. [propublica.org]

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