The current version of Senate Bill 480 prohibits private insurance companies from requiring prior authorization for the first ...

The Iowa legislature has unanimously voted to set deadlines for insurance companies being asked to authorize treatment, ...

Will artificial intelligence finally streamline the cumbersome prior authorization process — or just add a new layer of ...

The collaboration represents the first time Sutter Health has formed a joint venture with a Medicare Advantage insurer, President and CEO Warner Thomas said. The Sacramento, California-based nonprofit ...

CMS Rule 0057 requires health plans to develop and support FHIR-based APIs to enable electronic prior authorization (ePA). Whether return on this investment stops at ...

The scan was denied by a company called EviCore by Evernorth, a Cigna subsidiary that makes prior authorization decisions. Shahriar, an internal medicine resident, said he spent hours on the phone ...

The scan was denied by a company called EviCore by Evernorth, a Cigna subsidiary that makes prior authorization decisions. Shahriar, an internal medicine resident, said he spent hours on the phone ...

The scan was denied by a company called EviCore by Evernorth, a Cigna subsidiary that makes prior authorization decisions. Shahriar, an internal medicine resident, said he spent hours on the phone ...

In the process, he has run up against a hardball form of retribution from Cigna. After his business started having ... at least push for marginal improvements to mechanisms like prior authorization.

physicians should carefully read the prior authorization’s requirements, which Bansal notes may contain a treatment that the patient must fail before coverage, ahead of submitting the form.

Rep. Mark Green (R-Tenn.) reintroduced a bill Thursday seeking to reform prior authorization requirements in Medicare, Medicare Advantage, and Part D prescription drug plans requiring only specialty ...