A bill to reform prior authorization requirements for Medicare Advantage (MA) – a massive burden that nursing home operators have been trying to change ...

Getting prior authorization for medications can be a struggle in allergy and asthma care, but creating templates and paying ...

Health plans limit physical or occupational therapy sessions to as few as 20 a year, no matter the patient’s infirmities. The ...

Doctors in Hawaii and across the country say preauthorization wastes their time, wastes millions of dollars, and even costs ...

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

In fact, in a 2023 survey by the American Medical Association, 93% of physicians surveyed said this prior authorization process had delayed their patients' treatments, 78% believed delays due to ...

This year’s findings reveal that the prior authorization process has a negative impact on care, frustrates physicians, and can increase costs for patients and time for physicians. Notably, according ...

Over half said patient care could not wait for the health plan’s approval process, and 55% said they had insufficient resources to file an appeal. The survey also revealed that prior authorization ...

They represent the next step in our ongoing efforts to modernize the prior authorization process and simplify the health care experience for members and health care professionals.” The families ...

“These changes … represent the next step in our ongoing efforts to modernize the prior authorization process and simplify the health care experience for members and health care professionals,” ...