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

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

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 ...

While there's a lot of buzz around prior authorization, it applies to fewer than 2% of claims. Prior authorization ensures care is both safe and aligned with the most up-to-date clinical guidelines.

When you are sick or in pain, the prior authorization process can be frustrating and will sometimes result in a denial. If you've never been through the process, prior authorization is a ...

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

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 ...

In addition to concerns about AI, the survey revealed concerns about delays in care, health care costs, and physician burnout. Most physicians surveyed expressed concern that health insurance ...

On March 13, the Missouri House of Representatives approved House Bill 618, which would reform healthcare prior authorization ...

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.

The practice is known as "prior authorization." Patients often have to wait days or weeks to find out if their insurance company will cover the treatment or medication their doctor recommends.