The largest U.S. insurers agreed Monday to streamline their often cumbersome preapproval system. Here are five takeaways.

“For businesses with fewer than 5,000 members, just one high-cost prescription can significantly impact their pharmacy benefit spend,” said Diana Gibson Pace, Chief Growth Officer at Navitus Health ...

Large health insurance companies vowed to cut down the use of and improve a common tool to vet requests before letting doctors bill for medical services or prescriptions. UnitedHealthcare, Blue Cross ...

For many in long-term care, Monday’s announcement about voluntary prior authorization reforms reeks of unpleasant déjà vu.

In this week’s edition of InnovationRx, we look at health insurers' vows to improve prior authorization, Bell Labs’ IP ...

Here’s what to know about prior authorization, and what insurers have vowed to do. What is prior authorization? Prior ...

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 ...

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 ...

Prior authorization was initially designed to improve care by preventing unnecessary or unsafe treatments. But in its current form, it has become a barrier that disproportionately impacts the ...

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.