Rep. Mark Green (R-Tenn.) reintroduced a bill Thursday seeking to nix prior authorization requirements in Medicare, Medicare ...

Getting prior authorization for medications can be a struggle in allergy and asthma care, but creating templates and paying ...

Using AI-enabled tools to automatically deny more and more needed care is not the reform of prior authorization physicians and patients are calling for,” said AMA President Bruce A. Scott, MD.

The massive pharmacy benefit manager plans to stop requiring coverage reauthorizations for roughly 80 drugs used to treat ...

Prior authorization rates are increasing at ASCs, according to HST Pathways’ latest “State of the Industry Report.” The ...

The PBM plans to stop requiring coverage reauthorization for about 80 drugs, including Vertex’s cystic fibrosis medicines and ...

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 ...

A plan by Illinois House Democrats would let Illinoisan with chronic health conditions only need prior authorization once ...

Optum Rx, the pharmacy benefit manager under UnitedHealth Group, is set to eliminate prior authorization requirements for ...

Patients who required prior authorization had increased costs in the year prior to TKA. Prior authorization was not effective in determining who was a good surgical candidate, researchers said.

UnitedHealth Group is taking another step to refine its prior authorization requirements as it continues to face public frustration. The healthcare giant’s insurance business, UnitedHealthcare ...