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 ...

SPRINGFIELD, Ill. (WAND) — A state Democratic bill to make it faster to receive some HIV medication passed the Illinois House ...

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

Using AI-enabled tools to automatically deny more and more needed care is not the reform of prior authorization physicians and patients are calling for,” said AMA President Bruce A. Scott, MD.

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.

Medicare Advantage insurers had urged CMS to scrap the obesity drug coverage proposals and eliminate a health equity payment ...

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.

Sometimes a health insurer will require preauthorization of a medical procedure, and as a result may deny that pre-authorization, keeping the patient from getting the care they need, at least ...

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 ...

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