Arkansas, Louisiana, Michigan and West Virginia are among the states that have since passed laws (PDF) that require a form of gold carding. Other jurisdictions have passed some exemptions. For example ...

The time-wasting, care-delaying, insurance company cost-control process known as prior authorization has gone from a rarely employed tool to discourage use of extremely pricey interventions to a form ...

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

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 ...

AHN is the first health system to implement the fully automated, touchless prior authorization process, according to an April 28 news release. By entering a procedure order into the EHR, AHN can now ...

“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.

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 ...

The new law puts deadlines on prior authorization decisions and puts denials in the hands of doctors, not insurance analysts. North Dakota Gov. Kelly Armstrong signed Senate Bill 2280 into law on ...

The Ohio Association of Health Plans disagrees with prior authorization criticisms but agrees in principle about the importance of the doctor-patient relationship. Joanna Escobar was in and out of ...

However, you can take steps to appeal an insurance coverage denial. Prior authorization (PA) is a form certain insurance companies require to approve your prescription for coverage. A doctor will ...

Forbes contributors publish independent expert analyses and insights. Diane Omdahl is a Medicare expert who keeps her readers in the know.