Technology hurdles, particularly lack of standardization and interoperability, often hinder the prior authorization process. Robust communication strategies can address those problems.

House Bill 423 was a chance to reform prior authorization that defers patient care and remains the top problem impacting ...

Insurance hurdles and the complexities of prior authorization create barriers to care, according to oncologists in a new ...

“This bill actually starts to move the needle when it comes to prior authorization requests,” Klimesh says. “All too often myself and all my colleagues in this chamber hear from our local ...

The packed agenda featured topics such as: prior authorization reform efforts; the use of genetic testing in life insurance underwriting; insurers’ use of artificial intelligence; prescription drug ...

By simply entering an order for a procedure into an electronic health record (EHR), AHN can now receive prior authorization from payers without any other human intervention, thanks to Humata’s ...

Here are eight updates on payers since April 15, as reported by Becker’s: 1. The Cigna Group said that it will introduce two new programs to help manage the cost and delivery of GLP-1 drugs. 2. At ...

Because Evzio is expensive, insurers and Medicare Part D plans often require that health care providers submit prior authorization forms before covering the drug. OHM, however, completed prior ...

I have had to go more than two months without a medication because they didn’t manage the prior authorization (for something I’ve been on for years). There are constant delays in service.

In the case of the other family, a U.S. citizen child suffering from a rare form of metastatic cancer was deported without medication or the ability to consult with their treating physicians–despite ...

However, you can take steps to appeal an insurance coverage denial. Prior authorization (PA) is a form certain insurance companies require to approve your prescription for coverage. A doctor will ...

Forbes contributors publish independent expert analyses and insights. Diane Omdahl is a Medicare expert who keeps her readers in the know.