To control costs, nearly all health insurers use a system called prior authorization, which requires patients or their ...

How will the prior authorization rule change the appeals process? The rule does not specify how fast carriers need to review provider's or patient's prior authorization appeals.

For decades, Original Medicare has been known for offering relatively few hurdles when it comes to accessing outpatient ...

Prior authorization requirements have been criticized for creating red tape, delaying care and denying services that should have been covered.

UnitedHealthcare is reducing prior authorization requirements with new initiatives to ease administrative tasks and other challenges.

If you’ve ever been a patient waiting—days, sometimes more than a week—for treatment approval, or a clinician stuck chasing it, you know what prior authorization feels like. Patients sit in ...

Some states have already passed laws to speed up the prior authorization process, and more should follow suit. Conclusion Prior authorization may have been created with the intention of controlling ...

If you’ve ever been a patient waiting—days, sometimes more than a week—for treatment approval, or a clinician stuck chasing it, you know what prior authorization feels like. Patients sit in ...

Prior authorization is the process through which a doctor seeks approval from a person's health insurance plan before ordering a specific medication or medical service.

Several states and insurers have gold carding programs to streamline prior authorization. However, some say they're falling short.

Prior authorization is similar to how private insurers operate, often resulting in a delay or denial of treatments ...

If you’ve ever been a patient waiting—days, sometimes more than a week—for treatment approval, or a clinician stuck chasing it, you know what prior authorization feels like. Patients sit in ...