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 ...

Given the opportunity, most providers would like to set prior authorizations on fire. One accountable care organization based in the Pacific Northwest is doing just that, in a sense, by leveraging a ...

Geisinger Health Plan and software company Cohere Health are teaming up to simplify the prior authorization process and reduce provider burden. Through the deal, Danville, Pennsylvania-based Geisinger ...

Prior authorization has long been a source of friction between payers and providers, and now, with algorithmic tools for ...

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 ...

Prior authorizations are one of the biggest impediments to treating patients, according to Claire Ernst, JD, director of government affairs at MGMA. The Medical Group Management Association, or MGMA, ...

The Centers for Medicare and Medicaid Services finalized the CMS Interoperability and Prior Authorization Rule on Wednesday. CMS said the rule will improve the prior authorization process and save ...

Centene is the latest insurer to adopt a gold card program as states and the Trump administration push for prior authorization reform.

These nine steps can help you and your staff reduce the hassle of prior authorizations while empowering patients to be part of the process. Although multiple facets of patient care (medications, ...

A new study has found that prior authorizations for anti–vascular endothelial growth factor treatment led to a delay in patient care for most patients. Anti-VEGF treatments have been used in patients ...

The prior authorization process, integral for confirming the necessity and insurance coverage of medical treatments, has historically been an obstacle in healthcare. In its current state, it has the ...

Both the federal government and the Pennsylvania state government are taking steps to reform the prior authorization process. Attached is the Pennsylvania Insurance Department Press Release, issued ...