The Centers for Medicare and Medicaid Services (CMS) recently announced the launch of a program that will require individuals ...

HHS announced a final rule that will help physicians identify the most appropriate treatments while preventing health ...

The Department of Health and Human Services today announced prescription drug reforms that will become effective Oct.

How will the prior authorization rule change the appeals process? The rule does not specify how fast carriers need to review provider's or patient's prior authorization appeals.

To control costs, nearly all health insurers use a system called prior authorization, which requires patients or their ...

UnitedHealthcare is reducing prior authorization requirements with new initiatives to ease administrative tasks and other challenges.

If you’ve ever been a patient waiting—days, sometimes more than a week—for treatment approval, or a clinician stuck chasing it, you know what prior authorization feels like. Patients sit in ...

Some states have already passed laws to speed up the prior authorization process, and more should follow suit. Conclusion Prior authorization may have been created with the intention of controlling ...

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.

If you’ve ever been a patient waiting—days, sometimes more than a week—for treatment approval, or a clinician stuck chasing it, you know what prior authorization feels like. Patients sit in ...

If you’ve ever been a patient waiting—days, sometimes more than a week—for treatment approval, or a clinician stuck chasing it, you know what prior authorization feels like. Patients sit in ...