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

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

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

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

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

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

House Republicans plan to reintroduce legislation that would reform how North Carolinians are affected by health insurers' prior authorization policies for treatments, medications and procedures. The ...

Reps. Donny Lambeth, R-Forsyth, and Rep. Tim Reeder, R-Pitt, an emergency room physician, dispute insurers’ claims that prior ...

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 ...

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

However, details are still being worked out, both said. Reeder said all insurance companies use prior authorization and claim it helps control costs by avoiding unapproved or less cost-effective ...