When you’re covered by a TRICARE health plan, you also have pharmacy coverage through the TRICARE Pharmacy Program. And as ...

Editor's note: This article by Patricia Kime originally appeared on Military.com, a leading source of news for the military and veteran community. Active-duty family members, retirees and their ...

“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 California Assembly is considering a bill that would shorten the standard time limit for prior authorization reviews to 48 hours, from 5 business days today. The bill would cut the time a plan ...

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

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 ...

In addition to concerns about AI, the survey revealed concerns about delays in care, health care costs, and physician burnout. Most physicians surveyed expressed concern that health insurance ...

According to a new survey from the American Medical Association (AMA), 3 in 5 physicians (61%) are concerned that health plans’ use of AI is increasing prior authorization denials ...

PA delays patient care, leads to treatment abandonment, and negatively impacts clinical outcomes, with 29% reporting serious adverse events. Physicians face increased healthcare costs and resource ...

But of all the issues we navigated, none was raised more than concerns about utilization management, including prior authorization (UM/PA) in MA. We heard from a full range of bipartisan ...

Without that authorization ... their services expect to be reimbursed by TRICARE? What specific assurances have you received from your TRICARE East contract holders regarding a concrete plan ...

AUSTIN (KXAN) — Texas Rep. Venton Jones, D-Dallas, filed a bill this legislative session to prohibit insurance companies from requiring prior authorization before covering medications intended ...