CMS proposes new deadlines for prior authorizations for drugs

Drugs were left out of a 2024 rule streamlining prior authorizations, including by making decisions electronic and requiring ...
Opinion

Prior Authorization Reform Is Here—And It Could Change How Millions Get Care

Prior authorization forces doctors to spend 13 hours a week fighting insurers. New federal rules are changing that—here's what you need to know.
Time

Health Insurers Vow—Again—to Fix Prior Authorization Process. Here’s What to Know

Centers for Medicare & Medicaid Services Administrator Dr. Mehmet Oz listens to Secretary of Health and Human Services Robert F. Kennedy Jr. speak during a news conference to discuss health insurance ...
Insurance Business America

Health insurers reduce prior authorization by 6.5 million

US health insurers are advancing toward real-time prior authorization decisions by 2027 after reducing request volumes by 11%, eliminating 6.5 million transactions in 10 months. Insurers are working ...
HealthLeaders Media

Health insurers take major accountability step on prior authorization

The nation’s biggest health insurance companies are poised to ease prior authorization, the process of insurers reviewing hospital admissions and medications. In a social media landscape shaped by ...
MedPage Today

CMS Proposes Deadlines for Prior Authorization Requests in Medicare Advantage

Issued Friday, the proposed rule also would require full disclosure of claims denials and appeals outcomes, according to a ...
Fierce Healthcare

Insurers have eliminated 11% of prior authorizations under reform pledge

Last summer, the insurance industry broadly agreed to reform a major healthcare pain point: prior authorization. | Last ...

Health Plans Reduce Prior Authorization, Support Continuity of Care and Enhanced Consumer Communications

Health plans today announced an update on commitments to streamline, simplify and reduce prior authorization, a critical safeguard that helps ensure their members' care is safe, effective, ...
HealthLeaders Media

Reforming prior authorization: The next step to helping both sides of the stethoscope

As an emergency room physician, I know that time is one of a medical professional’s most vital resources. You could have a great doctor and a solid treatment plan, and catch the disease at its very ...
WFAE

NC lawmakers take aim at insurance companies' 'prior authorization' system

State lawmakers want to crack down on an insurance practice that requires people to wait for approval for medical treatments. The practice is known as "prior authorization." Patients often have to ...
abc27

Potentially life-saving prior authorization, step therapy bill moves out of Pa. Senate Committee

HARRISBURG, Pa. (WHTM) — A potentially life-saving bill that would let doctors prescribe medicines without being stalled or stopped by insurance companies is making headway. The State Senate’s Banking ...
AOL

Step therapy prior authorization in Medicare

Step therapy is when Medicare Part D plans ask beneficiaries to try a more affordable drug before approving higher-cost prescriptions. In Medicare, Part D covers general prescription drugs, whereas ...