Legislation focused on prior authorization reforms is headed to the governor after Senate lawmakers approved changes to the ...

Most physicians surveyed expressed concern that health insurance companies’ use of AI is increasing prior authorization denials.

There isn’t a specific form your healthcare professional needs to fill out to request prior authorization. They can submit their request directly to Medicare by fax or mail, through the ...

Prior authorization is one of the few tools to keep health care costs in check, ensuring that treatments are medically ...

Rep. Mark Green (R-Tenn.) reintroduced a bill Thursday seeking to reform prior authorization requirements in Medicare, Medicare Advantage, and Part D prescription drug plans requiring only ...

If you or someone you know has experienced the frustration of a delayed medical procedure or a denied prescription due to prior authorization, you’re not alone. That’s why Indiana lawmakers ...

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 ...

Will artificial intelligence finally streamline the cumbersome prior authorization process — or just add a new layer of ...

Our state’s patient advocates and health care providers are committed to ensuring all North Dakotans have access to high-quality, medically necessary health care when they need it most.

Medicare Advantage insurers had urged CMS to scrap the obesity drug coverage proposals and eliminate a health equity payment ...

By combining the power of lists with customizable forms, you can simplify data collection, improve collaboration, and keep everything running smoothly. This guide by Manizha & Ryan will walk you ...

About 100 bills nationwide target this payer cost-control process that delays patient care. The AMA is fighting to fix prior authorization. When a patient from Indiana had to be airlifted via ...