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

The House of Representatives is considering legislation that would reform the way payers use prior authorization. Which ...

On March 13, the Missouri House of Representatives approved House Bill 618, which would reform healthcare prior authorization ...

GuideWell CEO Pat Geraghty is optimistic that Congress will extend the enhanced exchange subsidies past 2025 despite ...

Medicare Advantage insurers had urged CMS to scrap the obesity drug coverage proposals and eliminate a health equity payment ...

Optum Rx said it plans to apply the policy to additional drugs in the future. Prior authorization requires doctors to get approval from a patient’s health or drug plan before providing a medical ...

The practice is known as "prior authorization." Patients often have to wait days or weeks to find out if their insurance company will cover the treatment or medication their doctor recommends.