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

Nevada Gov. Joe Lombardo’s long-awaited health care policy proposal — initially hinted at in his January State of the State ...

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

Physicians describe common prior authorization challenges when treating patients for obesity and share strategies to overcome ...

Representatives Mark Green, MD, (R, Tenn.) and Kim Schrier, MD, (D-Wash.) reintroduced H.R. 2433, the Reducing Medically Unnecessary Delays in Care Act of 2025. The bill calls for additional ...

Technology hurdles, particularly lack of standardization and interoperability, often hinder the prior authorization process. Robust communication strategies can address those problems.

Health systems face an increasingly complex regulatory landscape with evolving rules on price transparency, prior authorization and Medicaid reimbursement, pushing revenue cycle teams to adapt swiftly ...

Despite holding promise in a range of disease states, a variety of challenges prevent cell and gene therapies (CGTs) from ...

The Boston-based company, which was founded in 2019, aims to fix the inefficiencies and administrative burden associated with the traditional prior authorization process. By streamlining this ...

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 ...

OHM Pharmacy Services, a Florida-based company operating under the names "Benzer" and "Auburndale," has pleaded guilty in a ...

Discover ARS Pharmaceuticals' Q1 2025 performance as neffy gains momentum with $7.8M revenue, expanded insurance coverage, and a groundbreaking ...