If a person’s Medicare plan requires prior authorization, their doctor will typically take responsibility for submitting the request. A person may need to complete certain forms beforehand.

In health care, physicians are accountable for outcomes, patient access, satisfaction and costs. However, prior authorization ...

Policymakers are increasingly focused on reforming prior authorization to reduce administrative burdens and improve patient ...

The health insurance industry counters that prior authorization and other forms of utilization management ... The Centers for Medicare and Medicaid Services instituted a rule in January that ...

Healthcare has seen a slew of proposed policy changes at the federal level in recent months. Here are the 10 most important federal policy updates for ASC leaders and physicians to know since May 1: 1 ...

The simple truth is that the modern form of prior authorization ... the Centers for Medicare & Medicaid Services passed a final rule on streamlining prior authorization processes in 2024, but ...

Medical emergencies can happen at any time. Knowing what Medicare coverage you have, anywhere in the world, can help you ...

OHM Pharmacy Services, a Florida-based company operating under the names "Benzer" and "Auburndale," has pleaded guilty in a ...

Community Hospital Corp. President and CEO Jim Kendrick says Medicaid reimbursement reductions could cripple rural ...

UnitedHealth is again being accused of improper business practices for allegedly paying nursing homes to avert resident ...

Adopting either approach would undermine the choice every Medicare enrollee has had the right to make since the beginning of the program, and could push enrollees into plans rife with burdensome prior ...