Explore how prior authorization affects insurance costs and patient care, with insights on its pros, cons, and supporting data.

Cleveland-based MetroHealth has improved the speed and success of its medication prior authorization process with the help of AI, cutting submission times from 18 hours to around five minutes and ...

Rep. Dr. Greg Murphy (R-N.C.) hopes his personal ordeal with prior authorizations will help inspire Congress to act.

In health care, physicians are accountable for outcomes, patient access, satisfaction and costs. However, prior authorization ...

The AHA today voiced support to Senate and House sponsors of the Improving Seniors’ Timely Access to Care Act, legislation ...

A bipartisan bill aiming to reform prior authorization has been reintroduced in the Senate. | The Improving Seniors' Timely Access to Care Act seeks to streamline the prior auth process in Medicare ...

Ask a provider what’s causing tension in their relationship with insurers and many will point to prior authorization ... Silva gave two examples of physicians he’s spoken to about gold ...

Technology hurdles, particularly lack of standardization and interoperability, often hinder the prior authorization process. Robust communication strategies can address those problems.

There’s other people I know that have had to get prior authorization for insulin, other types of asthma drugs, even an allergy medication at one point,” Varner said. The bill requires ...

You may also need pre-approval, or prior authorization, for coverage of certain care. Prior authorization is a review of a requested health care service by your regional contractor to see if ...