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 ...

A six-state pilot program will target “wasteful care” under Medicare, Centers for Medicare & Medicaid Services says.

Strengthen your financial backup. Even with Medicare coverage, unexpected out-of-pocket expenses can pop up. Earn as much as ...

Prior authorization is a major pain point for physicians—but emerging tech could help, according to new data. In a case study of new prior authorization technology from Holon Solutions, a primary care ...

Major health insurers in the U.S. pledged Monday to overhaul the prior authorization process. Prior authorization means insurers require approval before they’ll cover medical care, a prescription or a ...

Even before the COVID-19 pandemic, the prior authorization process had become the bane of doctors and patients. Physicians say that health insurers’ authorization requirements, which can delay the use ...

Prior authorization is a headache for patients and providers. It’s a time-consuming process: physician offices spend hours getting OKs from health plans to cover medications and specific medical ...