The idea behind it seems reasonable: Insurers want to ensure treatments are medically necessary before they pay for them. But ...

At least 18 states took action on health insurers’ use of prior authorization this year, a sign that lawmakers aren’t content to wait on federal regulators to step in on a key consumer and provider ...

Please provide your email address to receive an email when new articles are posted on . Most medications in allergy and asthma care require prior authorization. Providers should screen for failed ...

For the last 30 years, I've dedicated my life to caring for patients in my community in the western suburbs of Chicago. I've known most of my patients for decades. We're a team. We decide together ...

ePA reduced the time between submitting a prior authorization request and receiving a decision from the health plan by 69%. Electronic prior authorization (ePA) can significantly reduce the time ...

While prior authorization is a key tool in an insurer's arsenal as it thinks about managing costs, the process remains a key source of friction with physicians. Amid a nationwide conversation around ...

Optum Rx has announced it will drop prior authorization for an estimated 80 drugs starting May 1. The program targets reauthorizations of drugs. For instance, once a genetic condition such as cystic ...

Tricare Prime beneficiaries need to know about both referrals and authorizations. If you are using Tricare Select, you don't typically need a referral for routine or specialty care, but there are some ...

On Monday, commercial insurer Cigna said it is no longer requiring prior authorization for certain CT exams, including those involving the heart, coronary arteries and bypass grafts with contrast.

Two Triad N.C. House Republicans plan to reintroduce legislation that would reform how North Carolinians are affected by health insurers' prior authorization policies for treatments, medications and ...