Read on to learn how Medicare may cover your prescription drugs. Medicare has four main parts: A, B, C, and D. Each of these parts offers some form of ... often require prior authorization and ...

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

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

The challenge of ensuring that all patients have access to affordable, high-quality care will not be solved by setting up ...

A House Republican has proposed a simple way to end complaints about health plan prior authorization programs: eliminate ...

Understanding the reasoning and process of Medicare Advantage prior authorization can help you gain faster approval for a required prior authorization.

Molina Healthcare CEO Joe Zubretsky downplayed attempts by Republicans to gut or limit Medicaid in upcoming reconciliation bills or at the state level on a Feb. 6 fourth-quarter earnings call.

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 ...

Health insurers now routinely refuse to pay for more expensive drugs or procedures until they have issued a “prior authorization.” Prior authorization is designed to prevent a physician from ...

UnitedHealthcare will ease prior authorization requirements for its Medicare Advantage plans, UnitedHealth Group CEO Andrew Witty said Thursday. In his first public remarks since the murder of ...

"Automated and expedited prior authorization is often more complex than it may appear," notes Cohere Chief Product Officer, Matt Parker. "Health plans need more than standards-based APIs to ...