This month, lawmaker introduced or were drafting separate bills restricting health insurers’ ability to require prior ...

Insurance companies may require what’s known as prior authorization for medical services before they will cover it. The ...

1. The bill, titled the Doctors Know Best Act, was proposed in early January. It would prohibit any group health plans, insurance providers and federal healthcare programs from utilizing prior ...

Understanding the reasoning and process of Medicare Advantage prior authorization can help you gain faster approval for a required prior authorization.

Prior authorization might save health care dollars, but there is no reason for prior authorization to delay care. Delays are very profitable for insurers. Dealing with prior authorization and its ...

There may be a new president in the White House and a new majority on Capitol Hill, but major healthcare provider ... health insurance prior authorization requirements and workforce issues top ...

Dallas, filed a bill this legislative session to prohibit insurance companies from requiring prior authorization before ...

Debra Patt, MD, PhD, MBA, MPH, warns that prior authorization barriers are delaying ... I am optimistic. I think health care is complicated, it’s important that people have perspectives.

Re “Insurance companies delay and deny needed health care. Here’s how to stop that ... medical necessity guidelines used for prior authorization. With this strong clinical foundation ...

Under this session's bill, prior authorization reviews and denials would have to ... RELATED: Abortion ban enforcement and transparent health care prices in new round of Gov. Braun's executive orders ...

With this offering, Cohere digitizes complex medical policies to address specialty and procedure-specific clinical guidelines, supporting an end-to-end prior authorization workflow. The APIs have ...

United Healthcare claims Axia sought reimbursements that were 30% on average higher than other OB-GYNS. Axia disputes this, saying their comparisons with competitors show then earning less.