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

We live in a complicated world and try to find ways to simplify it. During this past legislative session, key legislation ...

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 ...

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

Plenful has developed an AI platform that helps providers with prior authorization, 340B compliance and auditing.

The packed agenda featured topics such as: prior authorization reform efforts; the use of genetic testing in life insurance underwriting; insurers’ use of artificial intelligence; prescription drug ...

RALEIGH, N.C. (WITN) - The North Carolina House passed the CARE FIRST Act on Thursday, described as a life-saving piece of ...

Some insurers limit sessions to just 20 a year. They also often pause coverage to require re-authorization of physical ...

RALEIGH, N.C. (WITN) - The North Carolina House passed the CARE FIRST Act on Thursday, described as a life-saving piece of legislation that will reform prior authorization and save patients’ lives.

Nearly all those who have Medicare Advantage plans must deal with prior authorization. Now more prior authorization issues ...

How can policy makers and health care leaders ensure affordable, equitable access to GLP-1 medications while managing their ...