On Wednesday, a slew of bipartisan lawmakers reintroduced a bill that would overhaul the prior authorization process for seniors enrolled in Medicare ...

Legislation to streamline and improve outdated prior authorization processes for Medicare Advantage (MA) was reintroduced this week. The Improving ...

The company and other insurers have faced backlash from patients who say they were denied necessary care and providers say ...

One change the organization would like to see is for the Texas Department of Insurance to maintain a database of prior authorization approvals, denials, appeals, third party reviews and other ...

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 change includes four injectibles commonly… Optum Rx, the pharmacy benefit manager under UnitedHealth Group, will remove prior authorization requirements for approximately 80 prescription drugs, ...

“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 Kentucky Medical Association advocates for prior authorization reform to improve patient care and reduce physician burden. We live in a complicated world and try to find ways to simplify it.

Prior authorization programs delay patient care, increase emotional and financial costs on patients, create administrative burdens, increase hospitalizations and cause patient harm. × This page ...

was available to be interviewed on the record about proposed prior authorization legislation for this article. MORE: Americans are unhappy with the state of health care and insurance But changes ...