News

Healthline2mon
What Is Prior Authorization in Medicare?
Generally, Original Medicare (parts A and B) rarely asks for prior authorization because most medical care is preapproved ... There isn’t a specific form your healthcare professional needs ...
KFF Health News3d
States Take On Prior Authorization Reform As Congressional Efforts Stall
States are picking up the mantle on insurance reform as they await lawmakers' next attempt to push through a bipartisan, health-industry-backed bill. Other news is on a gender-affirming care ban in ...
Home Health Care News9d
Lawmakers Reintroduce Bipartisan Bill To Update ‘Outdated’ Medicare Advantage Prior Authorizations
On Wednesday, a slew of bipartisan lawmakers reintroduced a bill that would overhaul the prior authorization process for seniors enrolled in Medicare ...
McKnight's Senior Living4d
Bipartisan bill aims to streamline Medicare Advantage prior authorization process
A bipartisan bill introduced in the Senate and House aims to streamline the prior approval process for care for Medicare Advantage enrollees.
Morningstar2mon
New Study Shows Prior Authorization Does Not Reduce Costs for Total Hip Arthroplasty, Delays Patient Care
This can cause delays in patient care. In fact, in a 2023 survey by the American Medical Association, 93% of physicians surveyed said this prior authorization ... 12-item short form physical ...
The American Journal of Managed Care2mon
Prior Authorizations and the Adverse Impact on Continuity of Care
This commentary discusses the current prior authorization (PA) process and the negative impacts it can have on patient care. According to the American Medical Association, 94% of patients ...
Maui Now7d
Hirono backs bipartisan bill to speed up Medicare Advantage prior authorizations
US Sen. Mazie Hirono has announced she is backing bipartisan legislation aimed at improving access to medical care for ...
Becker's Hospital Review11d
From hours to minutes: AI transforms MetroHealth’s pharmacy prior authorization process
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 ...