While the cost of health care remains the dominant worry among Americans, the process of obtaining prior authorization from ...
One third insured adults say prior authorization is a major burden in accessing care, highlighting insurer delays and denials as key issues.
The Centers for Medicare and Medicaid Services (CMS) has implemented prior authorization requirements for certain traditional ...
Elisa Auguste, administrator at East Setauket, N.Y.-based Precision Care Surgery Center and vice president of the New York ...
Does Medicare require prior authorization? Medicare Advantage plans often require prior authorization. But these coverage reviews are rare for original Medicare. That distinction changes in 2026. Many ...
Ask a provider what’s causing tension in their relationship with insurers and many will point to prior authorization, arguing that the practice creates administrative burdens and delays in patient ...
Medicare Advantage prior authorizations have few friends. Doctors hate them. Patients hate them. Politicians say they hate them and introduce bills to curb them. But how onerous are they really? Less ...
As one provider told us in a national survey, “Prior authorizations are the pits!” This sentiment is shared widely both in and outside of the healthcare industry, and deservedly so. I am a patient, ...
Health plans under major U.S. insurers said they have voluntarily agreed to speed up and reduce prior authorizations – a process that is often a major pain point for patients and providers for getting ...
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 ...
The rule is expected to reduce staff workload, with fewer manual processes, and better visibility into coverage requirements and authorization status.