Why Prior Authorization Still Matters When you join a Medicare Advantage plan, your care sometimes requires an extra step ...

Prior authorization can help encourage the efficient use of health care resources but too often, it delays treatment patients ...

New technology and frameworks have helped create new opportunities for hospitals to automate and control previously ...

The letter from Sen. Richard Blumenthal comes one year after a Senate investigation criticized major MA payers for using ...

Prior authorization has been a bone of contention between payers and providers for some time now. Payers argue that it helps avoid unnecessary care and reduces costs, while providers say it creates ...

There is a striking paradox in the Census findings reported in the article by Kirkwood et al 1 that accompanies this editorial. Nearly two thirds of oncologists cite payer strains as the primary ...

The requirement that physicians get prior authorization from insurers before providing a medical service, diagnostic test or medication may be the greatest single bottleneck for the delivery of ...

If you or someone you know has experienced the frustration of a delayed medical procedure or a denied prescription due to prior authorization, you’re not alone. That’s why Indiana lawmakers are ...

The new CMS regulations on prior authorization have been heralded as a big step forward in reducing administrative burdens on physicians, but some people think it doesn't go far enough. The CMS ...

Forbes contributors publish independent expert analyses and insights. Diane Omdahl is a Medicare expert who keeps her readers in the know. My 90-year-old uncle, a retired county employee, has had a ...

UnitedHealth Group Inc. plans to cut the number of procedures and medical devices requiring prior authorization, addressing a common complaint of health providers and patients and potentially speeding ...