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

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

A House Republican has proposed a simple way to end complaints about health plan prior authorization programs: eliminate ...

Debra Patt, MD, PhD, MBA, MPH, warns that prior authorization barriers are delaying critical cancer treatments and urges a ...

Ending prior authorization for care, publishing denial rates, and forcing speedy and fair appeals are key steps.

UnitedHealthcare will ease prior authorization requirements for its Medicare Advantage plans, UnitedHealth Group CEO Andrew Witty said Thursday. In his first public remarks since the murder of ...

Health insurers now routinely refuse to pay for more expensive drugs or procedures until they have issued a “prior authorization.” Prior authorization is designed to prevent a physician from ...

An analysis by KFF released Jan. 28 found that Medicare Advantage insurers made nearly 50 million prior authorization determinations in 2023. The finding reflects continued year-over-year increases ...

Many physicians and practices say prior authorization is a major administrative burden and have urged lawmakers to institute reforms to the process for commercial and public payers.

The increase in prior authorization determinations since 2020 is linked to an increase in MA enrollment, KFF says.