American Enterprise Institute

Prior Authorization Reduces Net Costs of Medicare Part D

Administrative costs are estimated to make up between 20 and 34 percent of US health care expenditures, roughly 1–4 percent of GDP. Academic and policy discussions generally characterize these costs ...
California Healthline

Prior Authorization Requirements of Medicare Drug Benefit Examined

The New York Times on Tuesday examined how some physicians and pharmacists maintain that many medications covered by Medicare prescription drug plans are "not readily available" to beneficiaries ...
Tennessean

Insurers try not to deny patients prescription drugs. Here's how prior authorization works

Natalie Tate, PharmD, is vice president of pharmacy at BlueCross BlueShield of Tennessee. Nationwide, prescription drugs are the costliest and commonly used heath plan benefit. Last year, BlueCross ...

Healey unveils plan to reform health care insurance 'prior authorization' requirements

Massachusetts insurance regulators unveiled sweeping prior authorization reforms that would scrap pre-approval requirements ...
Hosted on MSN

Optum to drop prior authorization requirement for dozens of drugs

Optum Rx — which includes the pharmacy benefit manager of health care conglomerate UnitedHealth Group — is dropping annual reauthorization requirements for 80 drugs, which will eliminate more than 10% ...
TCTMD

Maze of Prior Authorization for PCSK9 Inhibitors Poses Challenge to Prescribers

Prior authorization requirements for PCSK9 inhibitor prescriptions are more cumbersome than those in place for other cardiometabolic drugs, a new study demonstrates. The complex processes are seen for ...

Health insurers face new restrictions as Healey moves to end prior authorizations, long hated by many

Prior authorizations have long been hated by many, but insurers call them an essential tool they use to control spending.
Healio

Prior authorization requirements substantial for PCSK9 inhibitors

Please provide your email address to receive an email when new articles are posted on . PCSK9 inhibitors required more prior authorization requirements compared with other drugs for cardiometabolic ...
Morningstar

SamaCare Celebrates One Million Medical Benefit Drug Prior Authorizations, Made Fast, Easy, and Accurate with AI

SAN FRANCISCO, June 12, 2025 /PRNewswire/ -- SamaCare, a cloud-based patient access platform for specialty medications, today announced that it has passed the 1MM milestone in prior authorizations ...
The Baltimore Sun

Prior authorization requirements harm patients and physicians; FTC must look into drug delaying practice | GUEST COMMENTARY

In June, the Federal Trade Commission (FTC) announced they will be launching an inquiry into the practices of the “prescription drug middleman” industry. These middlemen, known as Pharmacy Benefit ...