Prior Authorization Reform Is Here — And It Could Change How Millions Get Care

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

CMS proposes new deadlines for prior authorizations for drugs

Drugs were left out of a 2024 rule streamlining prior authorizations by making decisions electronic and requiring payers to ...
Time

Health Insurers Vow—Again—to Fix Prior Authorization Process. Here’s What to Know

Centers for Medicare & Medicaid Services Administrator Dr. Mehmet Oz listens to Secretary of Health and Human Services Robert F. Kennedy Jr. speak during a news conference to discuss health insurance ...
HealthLeaders Media

Health insurers take major accountability step on prior authorization

The nation’s biggest health insurance companies are poised to ease prior authorization, the process of insurers reviewing hospital admissions and medications. In a social media landscape shaped by ...
Fierce Healthcare

Insurers have eliminated 11% of prior authorizations under reform pledge

Last summer, the insurance industry broadly agreed to reform a major healthcare pain point: prior authorization. | Last ...
Insurance Business America

Health insurers reduce prior authorization by 6.5 million

US health insurers are advancing toward real-time prior authorization decisions by 2027 after reducing request volumes by 11%, eliminating 6.5 million transactions in 10 months. Insurers are working ...

Health Plans Reduce Prior Authorization, Support Continuity of Care and Enhanced Consumer Communications

Health plans today announced an update on commitments to streamline, simplify and reduce prior authorization, a critical safeguard that helps ensure their members' care is safe, effective, ...
WFAE

NC lawmakers take aim at insurance companies' 'prior authorization' system

State lawmakers want to crack down on an insurance practice that requires people to wait for approval for medical treatments. The practice is known as "prior authorization." Patients often have to ...
Newsday

After years of complaints, health insurers vow to fix prior authorization delays

Health insurance companies across the country have agreed to streamline and simplify the prior authorization process for patients seeking certain medical treatment, according to a nationwide industry ...
The American Journal of Managed Care

Prior Authorization Is Source of Greatest Patient Burdens in the Health System, Poll Finds

Prior authorization was rated a major burden by 32% of insured adults and the single greatest barrier by 34%, surpassing ...
HealthLeaders Media

Reforming prior authorization: The next step to helping both sides of the stethoscope

As an emergency room physician, I know that time is one of a medical professional’s most vital resources. You could have a great doctor and a solid treatment plan, and catch the disease at its very ...
AOL

Step therapy prior authorization in Medicare

Step therapy is when Medicare Part D plans ask beneficiaries to try a more affordable drug before approving higher-cost prescriptions. In Medicare, Part D covers general prescription drugs, whereas ...