Last week, the Government Accountability Office (GAO) published a report determining that there is a nontrivial risk that prior ...

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 ...

and the United States health care system. But of all the issues we navigated, none was raised more than concerns about utilization management, including prior authorization (UM/PA) in MA.

The laws, spearheaded by health care providers, generally narrow when and how prior authorization can occur and create stricter timelines for the review. Legislators in several states, including ...

Prior authorization for medical care was started ... they were “doing something” to help control rapidly rising health care costs. Some insurance companies made money charging extra for ...

Prior authorization requirements are a hallmark of American health care — and for some, they’re long overdue for reform. In North Carolina, a bill to restrict prior authorization — or even ...

Indeed, several payers have been cutting down on prior authorization requirements, including UnitedHealthcare and Cigna Healthcare. Antonucci agreed, however, that the prior authorization battle ...

PAULA is a true RCM game-changer – revolutionizing healthcare providers’ prior authorization processes ... time waiting on hold and completing forms. This process is further complicated ...

The program -- set to launch October 1 -- is part of the company's efforts to "modernize the prior authorization process and simplify the healthcare experience for consumers and providers," a ...

Insurers argue that prior authorization is a critical tool for managing excessive or wasteful use of health care services and ... Standardizing the form and method for exchanging prior ...