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 ...

The health insurance industry counters that prior authorization and other forms of utilization management are critical to constraining national health expenditures and to ensuring that patients ...

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 ...

Click here for more stories. Legislation focused on prior authorization reforms is headed to the governor after Senate lawmakers approved changes to the bill Wednesday. Lawmakers said the bill is ...

“This bill actually starts to move the needle when it comes to prior authorization requests,” Klimesh says. “All too often myself and all my colleagues in this chamber hear from our local ...

Prior authorization programs delay patient care, increase emotional and financial costs on patients, create administrative burdens, increase hospitalizations and cause patient harm. × This page ...

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 ...

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 ...

The practice is known as "prior authorization." Patients often have to wait days or weeks to find out if their insurance company will cover the treatment or medication their doctor recommends.