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

Rep. Mark Green (R-Tenn.) reintroduced a bill Thursday seeking to nix prior authorization requirements in Medicare, Medicare ...

Prior authorization is one of the few tools to keep health care costs in check, ensuring that treatments are medically ...

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 ...

Prior authorizations create substantial administrative and financial burdens on physicians and patients and can disrupt the continuity of care.

In 2023, the company eliminated 20% of prior authorization requirements and in 2024, introduced a gold card program, which allows certain providers to skip prior authorization for specific services.

Reauthorization is a type of prior authorization, a process used by insurers and PBMs to help determine the medical necessity of services, procedures and medications before coverage. Insurance ...

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, ...

The ETA is not technically a visa—the ETA system will grant travelers digital authorization to enter the country. However, you will still need to apply for an ETA prior to arrival. If you haven ...

The fatal shooting of UnitedHealthcare CEO Brian Thompson prompted both grief and public outrage about the ways insurers deny ...

Your representative's access to your tax information remains until you or they cancel the access or it expires (if an expiry date was included in the authorization request). Your representative's ...