Prior authorization is a process health insurers use to determine whether they will cover a prescription, medical procedure, ...

Just under 60,000 patients on UnitedHealthcare plans see Hopkins providers in Maryland, Virginia and Washington, D.C.

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

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

This is where she finds the prior authorization requests, determinations and updates. And often, this is where the real work ends, and the busy work begins. In other health care news: Nurses at Beebe ...

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

UnitedHealth Group reported second quarter earnings Tuesday, for the first time not serving as the bellwether for the ...

There's a lot of hype around the potential for new technologies to fix the prior authorization process, but this rev cycle ...

Michigan's Collaborative for Type 2 Diabetes (MCT2D), a statewide population health collaborative quality initiative, analyzed nearly 1,000 physician-submitted patient case summaries and needs ...

UPDATED: Thursday, May 9 at 5:50 p.m. | A New York urologist believes prior auth CPT codes will realign incentives and better support patients and physicians.

However, in December 2022, CMS proposed its own prior authorization regulations that included many of the provisions in that first version, such as mandating that "impacted payers" -- including MA ...

Delays in prior authorization can in turn delay treatment — and therefore relief — for suffering patients. (While the majority of prior authorization requests are approved, the share of denials is ...