UnitedHealth Group and CVS Health have standardized data and submission rules for more than half of their prior ...

Major health insurers are advancing efforts to standardize prior authorization requirements as part of an effort to simplify ...

Aligning electronic data submission requirements for prior authorizations is one prong of the insurance industry’s commitment ...

Drugs were left out of a 2024 rule streamlining prior authorizations, including by making decisions electronic and requiring payers to turn them around more quickly. The Trump administration is ...

Roughly 50 insurers signed an AHIP (formerly America’s Health Insurance Plans) and Blue Cross Blue Shield Association commitment to standardize electronic prior authorization across most medical ...

Archelle Georgiou understands Americans’ frustrations with prior authorization. She helped squash the practice before, at ...

Prior authorization forces doctors to spend 13 hours a week fighting insurers. New federal rules are changing that. Here's what you need to know.

When you join a Medicare Advantage plan, your care sometimes requires an extra step before treatment begins. This process is called prior authorization, and it helps your insurance plan confirm that a ...

Click in for more news from The Hill{beacon} Health Care Health Care  The Big Story Insurers step up prior authorization ...

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 ...

BRIDGEPORT, W.Va. — By the time Eric Tennant was diagnosed in 2023 with a rare cancer of the bile ducts, the disease had spread to his bones. He weighed 97 pounds and wasn’t expected to survive a year ...

When Phillip Sanderson started taking the medication Rybelsus for his diabetes, it was too strong, leaving him with stomach ...