Major health insurers have committed to streamlining the prior authorization process and making the requirement less common. The moves are expected to help patients access treatment more quickly ...

It's time to replace prior authorization with certification using evidence-based care optimization and digital coverage notification.

In nephrology and other specialties, the effects of prior authorization rules are felt daily through patient delays, exhausted staff and frustrated clinicians.

As an emergency medicine physician at ECU Health, I witness firsthand the devastating consequences of unnecessary prior authorization requirements every day. Prior authorization is an insurance ...

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.

Rep. Mark Green (R-Tenn.) reintroduced a bill Thursday seeking to nix prior authorization requirements in Medicare, Medicare Advantage, and Part D prescription drug plans.

Prior authorization is one of the few tools to keep health care costs in check, ensuring that treatments are medically necessary and cost-effective.

Prior authorization is the process by which your doctor requests approval from your Medicare plan before they can order a particular medication or medical service.

Most physicians surveyed expressed concern that health insurance companies’ use of AI is increasing prior authorization denials.

Will your care be denied? Medicare Advantage insurers use prior authorization to manage utilization and lower costs. How to compare plans during open enrollment.

Understanding the reasoning and process of Medicare Advantage prior authorization can help you gain faster approval for a required prior authorization.