The Biden administration finalized a new rule on how insurers can use prior authorization (PA), a practice aimed at reducing unnecessary treatment, but a headache for doctors and patients. The new ...

A year ago, the killing of a health insurance executive on a Manhattan sidewalk unleashed many Americans’ pent-up frustration with insurers’ delays and denials of care.

Please provide your email address to receive an email when new articles are posted on . CMS finalized a rule to streamline prior authorization requests and make the process more transparent. Experts ...

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 ...

CMS finalized a rule Jan. 17 aiming to streamline the prior authorization process and improve the electronic exchange of health information that it estimates will save $15 billion over 10 years. ACHP ...

Expert panelists discuss bridging communication between payers and providers in the AD treatment pathway. Casey Butrus, PharmD: I know you mentioned, Amy, that prior authorizations are on every ...

The efforts are first steps to improving the prior authorization process, but more needs to be done, experts told CNN. The commitments to standardize and streamline preapprovals, as well as provide ...

Medicare providers participating in and payers offering Part C and Part D plans are facing increasing pressure to move into the 21st century, and the government is taking decisive steps to ensure this ...

The nation’s major health insurers are promising to scale back and improve a widely despised practice that leads to care delays and complications. UnitedHealthcare, CVS Health's Aetna and dozens of ...

The Centers for Medicare & Medicaid Services' (CMS) has recently demonstrated a focus on promoting patient care by removing unnecessary obstacles to prior authorization. Prior authorization is a payer ...