Prior authorizations are the way MA managed care plans pre-approve some procedures before they’ll pay for them.

Medicare Advantage prior authorization (PA) is the process you go through to get certain services and drugs approved before ...

Will your care be denied? Medicare Advantage insurers use prior authorization to manage utilization and lower costs. How does ...

Ending prior authorization for care, publishing denial rates, and forcing speedy and fair appeals are key steps.

Money and health insurance red tape remain central to healthcare interest groups such as the American Hospital Association, ...

Debra Patt, MD, PhD, MBA, MPH, warns that prior authorization barriers are delaying critical cancer treatments and urges a ...

This is not the first time lawmakers have pushed to change state laws requiring approval from insurance companies for ...

However, details are still being worked out, both said. The argument for reform of prior authorization Reeder said all insurance companies use prior authorization and claim it helps control costs ...

SPRINGFIELD, Mo. (KY3) - Prior authorizations are standard this time of year as insurance changes. They’re essentially a request from your insurance asking for more information before agreeing ...

The Cigna Group will spend up to $150 million to reform its prior authorization, patient advocacy and provider services this ...

Cigna Group CEO David Cordani said the company will make investments this year to improve patient and provider experiences ...

while increasing insurance company profits. Prior authorization for medical care was started in the mid-1980s as a marketing scheme by health insurance companies. I know. I was in the room where ...