Have you ever walked into the pharmacy and been told that your prescription requires a prior authorization? But your healthcare professional prescribed something for you, and you brought in your ...

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 A and ...

Few readers would be surprised to read that Americans are dissatisfied with their health care coverage — an outrage that the December 2024 assassination of UnitedHealthcare CEO Brian Thompson arguably ...

Few tools in healthcare are as essential — or as misunderstood — as prior authorization. Designed to protect patients from ...

The U.S. Department of Health and Human Services has secured a pledge from insurers to streamline the companies’ practice of requiring prior authorizations before covering a claim. “Americans ...

Delaware's Pre-Authorization Reform Act aims to streamline the pre-authorization process for medical procedures and medications. The current process is criticized for being time-consuming, complex, ...