Policymakers are increasingly focused on reforming prior authorization to reduce administrative burdens and improve patient ...

Nearly all those who have Medicare Advantage plans must deal with prior authorization. Now more prior authorization issues are appearing with Part D prescription drugs.

On average, the study showed that Medicare prescription drug plans now cover just 56% of analyzed medications – a steep drop ...

Rep. Dr. Greg Murphy (R-N.C.) hopes his personal ordeal with prior authorizations will help inspire Congress to act.

Medicare Advantage (Part C) plans and Part D prescription ... prior authorization, their doctor will typically take responsibility for submitting the request. A person may need to complete certain ...

“This lawsuit centered on a highly technical prescription dispensing record keeping issue that was allowed by law in many states. The dispensing practices referenced were limited to Omnicare, ended in ...

Credit: Getty Images Researchers have conducted a number of studies examining the association between ADHD medication use and increased psychosis risk. For individuals with attention-deficit ...

Prior authorization is when a health care provider must receive approval from a health insurance plan before performing a service or prescribing medication. More than one in four physicians ― 29 ...

Knowing the truth is important because prior authorization, a utilization-management tactic that insurers once reserved for extremely expensive intervention, is now employed for even the simplest ...

(Brandon Smith/IPB News) Legislation focused on prior authorization reforms is headed to the governor after Senate lawmakers approved changes to the bill Wednesday. Lawmakers said the bill is an ...