News

(Ammunition used to kill Thompson was pointedly inscribed with the words deny, defend, and depose, terms insurers use to deny prior authorization for treatments ... decades climbing the industry ranks ...
Medicare is a form of health insurance for people aged 65 and older as well as people under 65 living with end-stage renal disease or other specific disabilities.
Rep. Mark Green, MD, of Tennessee has reintroduced legislation taking aim at prior authorization requirements.
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.
SPRINGFIELD, Ill. (WAND) — A state Democratic bill to make it faster to receive some HIV medication passed the Illinois House ...
For patient advocates and health economists, cases like Ekirch’s illustrate why prior authorization has become such a chronic ...
For patient advocates and health economists, cases like Ekirch’s illustrate why prior authorization has become such a chronic pain point for patients and doctors. For 50 years, insurers have ...
According to the American Medical Association, 23% of physicians report that prior authorization has led to a patient’s hospitalization, while 18% report that it has led to a life-threatening event.
We live in a complicated world and try to find ways to simplify it. During this past legislative session, key legislation ...
Rep. Mark Green, MD, a Republican from Tennessee, reintroduced a bill to Congress that would reform prior authorization requirements, The Hill reported March 27. “As a survivor of both colon and ...
While the final rule solidifies several changes — including measures to streamline prior authorization, tighten oversight of supplemental benefits and codify provisions from the Inflation ...
Optum Rx said it plans to apply the policy to additional drugs in the future. Prior authorization requires doctors to get approval from a patient’s health or drug plan before providing a medical ...