Prior authorization is the process through which a doctor seeks approval from a person’s health insurance plan before ordering a specific medication or medical service. Original Medicare (parts ...

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, ...

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

A bill to reform “prior authorization” has passed both the North Dakota House and Senate.

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 ...

Bipartisan lawmakers have introduced a bill that aims to more closely align Medicare insurers’ prior authorization denials with medical need, as determined by board-certified specialist physicians.

For patient advocates and health economists, cases like Ekirch’s illustrate why prior authorization has become such a chronic pain point for patients and doctors. For 50 years, insurers have ...

Prior authorization programs delay patient care, increase emotional and financial costs on patients, create administrative burdens, increase hospitalizations and cause patient harm. × This page ...

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