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 ...

Patient advocates are in the process of identifying “low-value codes,” Oz said, that should not require preapproval, but it ...

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 ...

More than 40 payers have voluntarily committed to significant prior authorization reforms, but will this time be any different?

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.

The California Assembly is considering a bill that would shorten the standard time limit for prior authorization reviews to 48 hours, from 5 business days today.

Rep. Mark Green, MD, a Republican from Tennessee, reintroduced a bill to Congress that would reform prior authorization requirements, The Hill reported March 27. “As a survivor of both colon and ...