The idea behind it seems reasonable: Insurers want to ensure treatments are medically necessary before they pay for them. But ...

Massachusetts insurance regulators unveiled sweeping prior authorization reforms that would scrap pre-approval requirements ...

Health plan executives expect AI to automate prior authorizations, improving turnaround times amid CMS regulatory changes, Deloitte finds.

Reducing the Scope of Medical Claims Subject to Prior Authorization Insurers have pledged to “commit to specific reductions to medical prior authorization as appropriate for the local market each plan ...

Prior authorizations have long been hated by many, but insurers call them an essential tool they use to control spending.

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 ...

A man with leukemia wrestles with his insurance company for access to medications to manage his excruciating pain. An oncologist is forced to delay needed treatments while arguing for health insurance ...

Prior authorizations are required by insurance companies for some medications. This includes those that may have less expensive alternatives. The prior authorization process can take anywhere from a ...