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

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

Bipartisan lawmakers have introduced a bill that aims to more closely align Medicare insurers’ prior authorization denials ...

Rep. Mark Green (R-Tenn.) reintroduced a bill Thursday seeking to nix prior authorization requirements in Medicare, Medicare ...

Your representative's access to your tax information remains until you or they cancel the access or it expires (if an expiry date was included in the authorization request). Your representative's ...

Reauthorization is a type of prior authorization, a process used by insurers and PBMs to help determine the medical necessity of services, procedures and medications before coverage. Insurance ...

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.

In addition to concerns about AI, the survey revealed concerns about delays in care, health care costs, and physician burnout. Most physicians surveyed expressed concern that health insurance ...

A JAMA Network Open study published March 13 found that 90% of Medicaid managed care plans cover at least one alcohol use disorder medication without prior authorization and quantity limits.

Permify is an open-source authorization service for easily building and managing fine-grained, scalable, and extensible access controls for your applications and services. Inspired by Google’s ...

What’s the news: Under the leadership of Administrator Chiquita Brooks-LaSure, the Centers for Medicare & Medicaid Services (CMS) has released a final rule making important reforms to prior ...