Prior authorizations have long been hated by many, but insurers call them an essential tool they use to control spending.
Consumers often are able to effect transactions by providing payment authorization ahead of time. How often a consumer may authorize a prescheduled transaction differs slightly under Regulation E and ...
Medicare Advantage prior authorizations have few friends. Doctors hate them. Patients hate them. Politicians say they hate them and introduce bills to curb them. But how onerous are they really? Less ...
As one provider told us in a national survey, “Prior authorizations are the pits!” This sentiment is shared widely both in and outside of the healthcare industry, and deservedly so. I am a patient, ...
The back and forth between providers and payers over prior authorization data exchanger is approaching its peak. Here are two programs that, if broadly adopted, could help the two sides work together ...
Staff at Arkansas' Harmony Park Family Medicine have been excited about streamlining the prior authorization process with the goal of improving patient access to high-quality care. Prior authorization ...
Enrollment in Medicare Advantage surpassed that of traditional Medicare for the first time last year, with 30.19 million people enrolled in a private healthcare plan at that time. The numbers have ...
Insurance companies often make doctors ask their permission before treating patients. This template can help medical professionals explain how it works. By Ron Lieber Ron Lieber will update this ...
Prior authorization is “wreaking havoc” on patient outcomes, physician burnout and productivity, a recent American Medical Association survey found. The survey was conducted in December and asked ...
The administrative burden of utilization review processes like prior authorizations and concurrent review has long been a thorn in the side of healthcare providers. While prior authorizations have ...
SAN FRANCISCO, June 12, 2025 /PRNewswire/ -- SamaCare, a cloud-based patient access platform for specialty medications, today announced that it has passed the 1MM milestone in prior authorizations ...
A six-state pilot program will target “wasteful care” under Medicare, Centers for Medicare & Medicaid Services says.
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