Nearly all those who have Medicare Advantage plans must deal with prior authorization. Now more prior authorization issues are appearing with Part D prescription drugs.

The transition costs can be recouped many times over from time and cost savings, reduction in patient harm, and the reduction in burnout that comes from clinicians seeing that they, not insurers, are ...

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

A CMS spokesperson said in a written statement that the agency is “committed to cutting down on unnecessary delays” for ...

Physicians describe common prior authorization challenges when treating patients for obesity and share strategies to overcome ...

Escobar, who now has private insurance through her full-time job but amassed ... which was scheduled for March 27 and required prior authorization, was due at the time of the procedure.

AHN is the first health system to implement the fully automated, touchless prior authorization process, according to an April 28 news release. By entering a procedure order into the EHR, AHN can now ...

As the state legislative session comes to a close, Springfield state Rep. Melanie Stinnett is holding out hope that the Missouri General Assembly will come to an agreement on legislation limiting ...

“All too often myself and all my colleagues in this chamber hear from our local hospitals that say prior authorization consumes far too much time and money in our institutions. This starts to ...

Prior authorizations create unnecessary delays, costs and stress for patients and physicians. The Kentucky Medical Association advocates for prior authorization ... more time, money and effort.

The California Assembly is considering a bill that would shorten the standard time limit for prior authorization reviews to 48 hours, from 5 business days today. The bill would cut the time a plan ...