If your medication requires a prior authorization, the pharmacy will notify the healthcare professional who wrote the ...

The prior authorization process is in the spotlight as the majority of Americans say delays and denials of services and ...

Humana said on Tuesday it would eliminate about one-third of prior authorizations for outpatient services by next year, the ...

Indiana's health care system is taking a major step forward following the implementation of a new law authored by state Sen.

A new survey reveals widespread consumer frustration with prior authorization, highlighting the need for urgent reform in ...

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 ...

Everyone’s talking about AI in healthcare — but in revenue cycle management, confusion remains about what it actually does. For RCM and finance leaders, the key question is: What makes an AI solution ...

Prior authorization varies by plan but often requires patients or their providers to get permission (also called precertification, preauthorization, or preapproval) before filling prescriptions ...

A bill intent on reforming the pre-authorization process in Delaware passed both chambers and is now under consideration from ...

Keep in mind: If you're approved, a prior authorization only lasts for a set period of time. A prior authorization can expire ...

Preauthorization is about to enter the lives of many seniors who have chosen traditional Medicare over MA, write former CMS ...

Humana said on Tuesday it would eliminate about one-third of prior authorizations for outpatient services by January 1, 2026.