Payers in 2024 initially denied 11.8% of dollars associated with hospital-based claims, according a report from consultant ...

A bipartisan bill aiming to reform prior authorization has been reintroduced in the Senate. | The Improving Seniors' Timely ...

Explore how prior authorization affects insurance costs and patient care, with insights on its pros, cons, and supporting data.

In health care, physicians are accountable for outcomes, patient access, satisfaction and costs. However, prior authorization ...

The AHA May 21 voiced support to Senate and House sponsors of the Improving Seniors’ Timely Access to Care Act, legislation ...

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

As an emergency room physician, I know that time is one of a medical professional’s most vital resources. You could have a great doctor and a solid treatment plan, and catch the disease at its very ...

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 ...

This shortage is worsened by the burdensome practice of Prior Authorization, where insurance companies require approval before care is provided. In Hawaii, physicians and their staff currently ...

Cleveland-based MetroHealth has improved the speed and success of its medication prior authorization process with the help of AI, cutting submission times from 18 hours to around five minutes and ...

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