Rep. Mark Green, MD, of Tennessee has reintroduced legislation taking aim at prior authorization requirements.

A bill to reform “prior authorization” has passed both the North Dakota House and Senate.

For patient advocates and health economists, cases like Ekirch’s illustrate why prior authorization has become such a chronic ...

A bipartisan group of physician legislators has introduced legislation in the House of Representatives to reform payer use of ...

We live in a complicated world and try to find ways to simplify it. During this past legislative session, key legislation ...

According to the American Medical Association, 23% of physicians report that prior authorization has led to a patient’s hospitalization, while 18% report that it has led to a life-threatening event.

We live in a complicated world and try to find ways to simplify it. During this past legislative session, key legislation that would have helped ease the burden of obtaining needed health care stalled ...

Optum Rx said it plans to apply the policy to additional drugs in the future. Prior authorization requires doctors to get approval from a patient’s health or drug plan before providing a medical ...

While the final rule solidifies several changes — including measures to streamline prior authorization, tighten oversight of supplemental benefits and codify provisions from the Inflation ...

Healthcare lease accounting insights: How two organizations got compliant and stay audit-ready all year long Healthcare organizations (HCOs) often hold multiple leases such as those for real estate, ...

A complete guide to lease accounting for healthcare organizations Making a successful transition to the latest lease accounting requirements such as ASC 842, IFRS 16 or GASB 87 can be a complicated ...