Medicare Advantage prior authorization (PA) is the process you go through to get certain services and drugs approved before ...

This is not the first time lawmakers have pushed to change state laws requiring approval from insurance companies for ...

The killing of Brian Thompson, the head of UnitedHealth's insurance unit, has sparked a conversation on social media about ...

Ending prior authorization for care, publishing denial rates, and forcing speedy and fair appeals are key steps.

The Cigna Group will spend up to $150 million to reform its prior authorization, patient advocacy and provider services this ...

House Republicans plan to reintroduce legislation that would reform how North Carolinians are affected by health insurers' prior authorization policies for treatments, medications and procedures. The ...

"Insurance companies will fight it, and thus it will be difficult to get the bill all the way into law," said Donny Lambeth, ...

MA plans required prior authorizations about 125 times more often than regular Medicare in 2023, demonstrating the barriers patients face in accessing care.

Cohere Health®, a recognized leader in clinical intelligence, announces Cohere Connect™, offering health plans the tools and support to meet and exceed the prior authorization (PA) compliance mandates ...

Numotion’s Tim Casey believes a mix of administrative and reimbursement relief, as well as provider improvements, would go a long way to “turn the tide” ...

Many physicians and practices say prior authorization is a major administrative burden and have urged lawmakers to institute reforms to the process for commercial and public payers.

SPRINGFIELD, Mo. (KY3) - Prior authorizations are standard this time of year as insurance changes. They’re essentially a ...