When it comes to health insurance, prescription drugs and other health costs, January 2025 was not a boring month.
Will your care be denied? Medicare Advantage insurers use prior authorization to manage utilization and lower costs. How to ...
Medicare Advantage prior authorizations have few friends. Doctors hate them. Patients hate them. Politicians say they hate them and introduce bills to curb them. But how onerous are they really?
Surescripts®, the nation's leading health information network, unveils the first-of-its-kind Touchless Prior Authorization technology, transforming prior authorizations to help alleviate one of ...
Debra Patt, MD, PhD, MBA, MPH, warns that prior authorization barriers are delaying critical cancer treatments and urges a ...
Money and health insurance red tape remain central to healthcare interest groups such as the American Hospital Association, ...
Health insurers now routinely refuse to pay for more expensive drugs or procedures until they have issued a “prior authorization.” Prior authorization is designed to prevent a physician from ...
Medicare Advantage plans required prior authorizations about 125 times more often than regular Medicare in 2023, demonstrating the barriers MA patients face in accessing care. An analysis ...
Quinterno said laws trying to limit the scope of prior authorizations are trying to remove patients “caught up in a byzantine authorization process.” “They often suffer in the form of wasted ...
The Defense Health Agency has suspended a requirement for Tricare Prime patients in the West Region to get pre-authorization from their Tricare contract manager for specialty care. Defense ...
UnitedHealthcare will ease prior authorization requirements for its Medicare Advantage plans, UnitedHealth Group CEO Andrew Witty said Thursday. In his first public remarks since the murder of ...