Reforming prior authorization processes has been on the regulatory menu for a while. Both patients and providers have argued that prior ...

The proposed rule aims to improve prior authorization for prescription drugs by establishing and requiring electronic prior ...

Prior authorization is the process by which your doctor must request approval from your Medicare plan before they can order a particular medication or medical service. Generally, Original Medicare ...

CMS has added electronic prior authorization to its Health Tech Ecosystem. The agency says health systems, hospitals, ...

The Centers for Medicare & Medicaid Services yesterday announced a new electronic prior authorization initiative as part of its Health Technology Ecosystem. CMS Administrator Mehmet Oz, M.D., said ...

Whether you’re filling a prescription or scheduling a procedure, chances are you’ve been asked whether you have prior authorization. By learning to navigate prior authorization and what steps to take ...

Declining Medicare reimbursement and continuing prior authorization hassles for physicians were among the familiar themes sounded by American Medical Association (AMA) President Bruce Scott, MD, at ...

A slew of provider and tech organizations have signed on to the Centers for Medicare and Medicaid Services’ push for the ...

Every American who has ever needed surgery, a scan, or a specialist referral knows the particular dread of those three words: ...

Forbes contributors publish independent expert analyses and insights. Jesse Pines is an expert in healthcare innovation and wellness. This voice experience is generated by AI. Learn more. This voice ...

Six states are part of a pilot program by CMS to reduce “waste, fraud and abuse.” ...

Prior authorization is a process that involves contacting a person’s Medicare provider to request coverage for a medical service, drug, or piece of equipment. If a person has Original Medicare (parts ...