Please provide your email address to receive an email when new articles are posted on . CMS finalized a rule to streamline prior authorization requests and make the process more transparent. Experts ...

Physician groups are urging the Trump administration to give them more information on insurance companies’ pledges to change ...

The Biden administration finalized a new rule on how insurers can use prior authorization (PA), a practice aimed at reducing unnecessary treatment, but a headache for doctors and patients. The new ...

Health insurer Humana has said it’s engaging in efforts to streamline the prior authorization process, in part by approving care requests as quickly as possible and reducing the administrative burdens ...

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 ...

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 ...

CMS finalized a rule Jan. 17 aiming to streamline the prior authorization process and improve the electronic exchange of health information that it estimates will save $15 billion over 10 years. ACHP ...

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 ...

Step therapy is when Medicare Part D plans ask beneficiaries to try a more affordable drug before approving higher-cost prescriptions. In Medicare, Part D covers general prescription drugs, whereas ...