One year after the Trump administration announced that dozens of health insurers had signed a six-part pledge promising to reduce barriers to doctor-recommended care, some insurers now say they won’t ...

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 ...

Patients who need the costliest services are still being disproportionately denied access to doctor-recommended care.

The burden of prior authorizations (PA) has been a topic of discussion for quite some time due to concerns that the current process burdens providers and slows down care delivery. Providers continue ...

In an effort to reduce wasteful spending, the government is piloting a program that uses AI for insurance-coverage decisions.

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 ...

Add Yahoo as a preferred source to see more of our stories on Google. (NewsNation) — The nation's major health insurers are pledging to streamline the prior authorization process, which has long ...

Initially meant to protect patients from unnecessary procedures, prior authorizations have shifted towards being a cost containment strategy for health payers. This shift is causing significant ...

Expert panelists discuss bridging communication between payers and providers in the AD treatment pathway. Casey Butrus, PharmD: I know you mentioned, Amy, that prior authorizations are on every ...

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 ...

Insurance companies require doctors to get approval before providing some care to patients, a process known as prior authorization. Doctors and patients alike are often frustrated by the process, ...

Recently, I was in a room with the technology leadership of a large health system when the conversation turned to a software ...