Before selecting a vendor to aid in prior authorization management, health systems should conduct a thorough "needs assesment ...

Kowalski-McGraw, Ozeran, Berenji, and Schreiber are leaders of the End Burnout Group (EBG). For many clinicians, it's the ...

Legislation focused on prior authorization reforms is headed to the governor after Senate lawmakers approved changes to the bill Wednesday. Lawmakers said the bill is an important step in addressing ...

The Iowa legislature has unanimously voted to set deadlines for insurance companies being asked to authorize treatment, ...

Most physicians surveyed expressed concern that health insurance companies’ use of artificial intelligence (AI) is increasing prior authorization denials. 1 The survey, conducted by the American ...

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 ...

Rep. Mark Green, MD, of Tennessee has reintroduced legislation taking aim at prior authorization requirements in Medicare, Medicare Advantage and Part D prescription drug plans. Five things to ...

Rep. Mark Green, MD, a Republican from Tennessee, reintroduced a bill to Congress that would reform prior authorization requirements, The Hill reported March 27. “As a survivor of both colon and ...