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Major insurers say they’ll ease up on the prior-authorization practice that can delay necessary care for patients.
Prior authorization refers to when medical providers have to get approval from insurers before performing a service. Patients ...
The Centers for Medicare & Medicaid Services June 27 announced the rollout of a 6-year technology-enabled prior authorization ...
Highmark is among the more than 50 health insurers who pledged Monday to speed up and slim down prior authorization, the process through which patients and their doctors must seek insurance approval ...
According to a National Conference of State Legislatures database, 23 states enacted more than 43 bills related to prior authorization in the last few years, with 18 enacted so far in 2024 alone.
Here are the key takeaways for consumers: 1. Prior authorization isn’t going anywhere. Health insurers will still be allowed to deny doctor-recommended care, which is arguably the biggest ...
Last year, only 26% of the provider groups UnitedHealthcare works with submitted more than one prior authorization request, Docimo said. "It may be perceived as prevalent, but it's not required in ...
UnitedHealthcare, Aetna and dozens of other insurers promised Monday they’re working to scale back a health care practice that leads to delays and complications.
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.