Prior authorization can feel like a mysterious roadblock between you and the care your doctor recommends. While it’s meant to ensure treatments are necessary and cost-effective, it often causes ...

The approach will be used for medical services that are commonly subject to prior authorization, such as orthopedic surgeries ...

Prior authorization is a growing challenge in ophthalmology, slowing down care and creating both clinical and financial risks. From cataract surgeries to urgent retinal injections, delays in approval ...

Andrew Mellin, M.D., discusses Surescripts’ pilot program for prior authorization system, which pulls clinical data from EHRs ...

Bipartisan lawmakers have introduced a bill that aims to more closely align Medicare insurers’ prior authorization denials with medical need, as determined by board-certified specialist physicians.

LaTesha Harrison needs one or two scopes of her digestive system every year so her doctor can track her complications from Crohn’s disease. But the suburban Baltimore woman worries these necessary ...

Prior authorization is no longer just a checkpoint in orthopedic care, It’s becoming a defining force in how, when and even whether patients receive treatment.  As payers expand algorithm-driven ...

Cigna is the latest health insurer to roll back prior authorization requirements, announcing Thursday that it will no longer require the approvals for nearly 25% of medical services. Cigna plans to ...

Most medical groups have seen an increase in prior authorization requirements since last year, according to polling from the Medical Group Management Association. The association conducted the poll ...