Ohio, which in fiscal 2023 received more than $23 billion in federal Medicaid funding, hired Gainwell in 2021 to run the program’s new Single Pharmacy Benefit Manager ... those that didn’t have ...

The current version of Senate Bill 480 prohibits private insurance companies from requiring prior authorization for the first ...

State lawmakers are considering that proposal along with bills that could restrict use of prior authorization for physical ...

The Iowa legislature has unanimously voted to set deadlines for insurance companies being asked to authorize treatment, prescriptions or other health care services. Senator Mike Klimesh of Spillville ...

Rep. Mark Green, MD, of Tennessee has reintroduced legislation taking aim at prior authorization requirements.

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

There isn’t a specific form your healthcare professional needs to fill out to request prior authorization. They can submit their request directly to Medicare by fax or mail, through the ...

For patient advocates and health economists, cases like Ekirch’s illustrate why prior authorization has become such a chronic ...

Will artificial intelligence finally streamline the cumbersome prior authorization process — or just add a new layer of ...

For patient advocates and health economists, cases like Ekirch’s illustrate why prior authorization has become ... Anthem telling me to plead with a pharmacy company to give me this drug when ...

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

If you or someone you know has experienced the frustration of a delayed medical procedure or a denied prescription due to prior authorization, you’re not alone. That’s why Indiana lawmakers ...