The Government Accountability Office May 29 released a report recommending the Centers for Medicare & Medicaid Services ...

New Product Streamlines Prior Authorization to Improve Patient, Provider, and Payer Outcomes BOSTON, MA / ACCESS Newswire / ...

States are picking up the mantle on insurance reform as they await lawmakers' next attempt to push through a bipartisan, health-industry-backed bill. Other news is on a gender-affirming care ban in ...

Lawmakers last week reintroduced the Improving Timely Seniors’ Access to Care Act, which aims to streamline prior authorization.

Inefficiencies in prior authorization systems erode patient trust and can seriously impact care. Reform could start with automating the routine, eliminating the redundant and reimbursing the ...

Prior authorization, a process requiring healthcare providers to obtain approval from insurance plans before certain medications, medical services, or procedures can be administered, is a significant ...

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 ...

Given these alarming statistics, the End Burnout Group (EBG), a multi-disciplinary group of clinicians and informaticists which we lead, identified prior authorization as a leading root cause of ...

Prior authorization is the process through which a doctor seeks approval from a person’s health insurance plan before ordering a specific medication or medical service. Original Medicare (parts ...

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 ...

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 ...