AMA leaders are “eager to meet” and “serve as a resource” on how to address burdensome prior authorization, AMA executive vice president and CEO James L. Madara, MD, told Mehmet C. Oz, MD, the new ...

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

Payers in 2024 initially denied 11.8% of dollars associated with hospital-based claims, according a report from consultant ...

Explore how prior authorization affects insurance costs and patient care, with insights on its pros, cons, and supporting data.

The AHA May 21 voiced support to Senate and House sponsors of the Improving Seniors’ Timely Access to Care Act, legislation ...

On behalf of our nearly 5,000 member hospitals, health systems and other health care organizations, our clinician partners — including more than 270,000 affiliated physicians, 2 million nurses and ...

For years, UnitedHealth Group was the envy of the healthcare industry—a vertically integrated behemoth that controlled the ...

Prior authorization has become a pain point for patients and doctors. This is a KFF Health News story. Sheldon Ekirch spends a lot of time on hold with her health insurance company. Sometimes ...

Insurers’ use of AI in prior authorization has come under scrutiny in recent years. UnitedHealth Group is facing a lawsuit alleging the company used AI algorithms to wrongfully deny postacute care for ...

on these initial products accounts for about 10% of total prior authorization requests for the PBM. “Optum Rx is taking meaningful steps to simplify patient experiences and increase access to cr ...

The cuts will account for more than 10% of OptumRx's total pharmacy prior authorizations, the release said. "All of the drugs in this program will go through the first prior authorization process ...