Recently, we put together a template to help medical professionals explain a confusing process. Readers gave us very pointed ...

Prior authorization can help encourage the efficient use of health care resources but too often, it delays treatment patients ...

GoodRx reports that starting January 2026, original Medicare will require prior authorization for certain services in six ...

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 ...

Amid Medicare Advantage’s rise, future policy shifts – including faster prior authorization requirements and Medicaid cuts – ...

The Centers for Medicare & Medicaid Services has released an operational guide for Medicare-enrolled providers and suppliers on the Wasteful and Inappropriate Service Reduction model.

It’s a situation all of us will find ourselves in at some point. You’re sick, or get diagnosed with a chronic condition, or need to have surgery. Thankfully, your physician diagnosed the issue quickly ...

New technology and frameworks have helped create new opportunities for hospitals to automate and control previously ...

Gov. Jared Polis ordered the Colorado Department of Health Care Policy and Financing to reinstate prior authorization for ...

“Cancer patients and their families are being pulled into the insurance prior authorization process, at the expense of their ...