The current prior authorization process in U.S. healthcare constitutes a crisis, according to Jesse Ehrenfeld, immediate past ...

Navigating the healthcare system can be a complex and frustrating experience. Among the many challenges is prior ...

The health insurance industry counters that prior authorization and other forms of utilization management are critical to constraining national health expenditures and to ensuring that patients ...

A bipartisan bill introduced in the Senate and House aims to streamline the prior approval process for care for Medicare Advantage enrollees.

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 ...

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 ...

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

So, for Medicare to share this data with you, your parent must fill out the Authorization to Disclose Personal Health Information form, which they can do online or by mail. On the Authorization to ...

reintroduced a bill Thursday seeking to reform prior authorization requirements in ... and Medicare Advantage recipients to get the healthcare they need.” The Reducing Medically Unnecessary ...

consuming up to 24 minutes per authorization. With tens of millions of prior authorizations occurring each year, this labor-intensive process contributes to one of healthcare’s top ...