A House Republican has proposed a simple way to end complaints about health plan prior authorization programs: eliminate health plan prior authorization programs. Rep. Jeff Van Drew, R-N.J., has ...

Agadia, a leader in Utilization Management automation, is proud to announce the expansion of its electronic prior ...

Insurance companies may require what’s known as prior authorization for medical services before they will cover it. The ...

Patients and their health care providers are saying it’s time Montana joined many other states in limiting how and when insurers can deny drugs or treatments through their preapproval process.

Health insurance deny-and-delay practices block access to needed care and shift costs to patients and providers, while increasing insurance company profits. Prior authorization for medical care ...

Prior authorization requirements are a hallmark of American health care — and for some, they’re long overdue for reform. In North Carolina, a bill to restrict prior authorization — or even ...

Senator Tyler Johnson, R-Leo, has again authored a bill in the Indiana General Assembly that would put some reins on prior authorization for medical services and prescriptions by insurance entities.

them mentality. In Massachusetts, health plans are required by state law to collaborate with physicians to develop medical necessity guidelines used for prior authorization. With this strong ...

"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 ...

INDIANAPOLIS — It's a situation anyone visiting their doctor has probably run into at one point. Your doctor says you need a test, procedure or certain drug, but in order for it to be covered by your ...

Dallas, filed a bill this legislative session to prohibit insurance companies from requiring prior authorization before ...