Health insurance is covering fewer medications, with Medicare patients facing stricter restrictions. Profit-driven ...

Perhaps it's because I've had no change in provider ... This particular drug was given prior authorization by Optum a couple of years ago. As I see it different departments at Optum are not ...

Given these differences, changes in care activity and member ... that will help people in their healthcare journeys. Optum RX will remove prior authorizations on 80 drugs accounting for more ...

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

Prior authorization is a process that involves contacting a person’s Medicare provider to request coverage for a medical service, drug, or piece of equipment. If a person has Original Medicare ...

The Boston-based company, which was founded in 2019, aims to fix the inefficiencies and administrative burden associated with the traditional prior authorization process. By streamlining this ...

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 ...

Prior authorization is dangerous and actively causes harm. It needs revolutionary change, not just faster processing features or minor adjustments. There is an inherent conflict of interest in ...

The aim of the proposals would be to cut the number of medical procedures subject to “prior authorization,” meaning ... and the agency’s direction could change. The process of obtaining ...