Rep. Dr. Greg Murphy (R-N.C.) hopes his personal ordeal with prior authorizations will help inspire Congress to act.

Explore how prior authorization affects insurance costs and patient care, with insights on its pros, cons, and supporting data.

"Health insurance plans ... Insurance companies may relax prior authorization requirements for federally regulated plans in states with stricter laws for other forms of insurance so their policies ...

There isn’t a specific form your healthcare professional needs to fill out to request prior authorization. They can submit their request directly to Medicare by fax or mail, through the ...

Prior authorization, a process requiring healthcare providers to obtain approval from insurance plans before certain medications, medical services, or procedures can be administered, is a significant ...

Cleveland-based MetroHealth has improved the speed and success of its medication prior authorization process with the help of AI, cutting submission times from 18 hours to around five minutes and ...

View the Release of Medical Information Policy If other individuals or agencies have provided confidential information to Student Health Services, you cannot use the authorization form to re-release ...

The American Medical Association (AMA) and a bipartisan group of Congressional leaders are looking to stop unfair prior authorization practices from health ... insurers in the form of a denial ...

queries the patient’s electronic health record for relevant clinical information and organizes the data into a pre-populated form for physicians to submit to Blue Shield, according to a press ...

The state has also passed legislation preventing the use of prior authorization for nonmedication services related to cancer care and mental healthcare, which will go into effect in January 2026.

One increasingly subtle but important theme in US healthcare is the shift to care ... using mechanisms of their own design such as prior authorization, narrowed networks, case management, and ...