Blue Shield is designing a centralized, machine-readable policy repository to enhance policy digitization and automation, speeding up prior authorization decisions. The organization has partnered with ...

A KFF survey published today found that people view prior authorization as the biggest challenge beyond costs when navigating the health care system. In terms of issues people viewed as a “major ...

One third insured adults say prior authorization is a major burden in accessing care, highlighting insurer delays and denials as key issues.

While the cost of health care remains the dominant worry among Americans, the process of obtaining prior authorization from ...

The Centers for Medicare and Medicaid Services (CMS) has implemented prior authorization requirements for certain traditional ...

The paperwork burden of prior authorization keeps climbing, and for some ASCs, the only way through is to treat it like a daily fight. Elisa Auguste, administrator at East Setauket, N.Y.-based ...

There is a good reason for health insurers to occasionally require prior authorization for medical treatment. If a doctor ...

"Medically necessary" is often a four-letter word for patients.

Depending on who you ask, prior authorization is a primary driver of administrative burden and delayed medical care or an essential tool for enhancing safety, improving health outcomes, and reducing ...

Effective Jan. 1, the Trump administration will, for the first time in the 60-year history of Medicare, implement a pilot project in six states (with Ohio being one of them) that will use private, for ...

Prior authorization has long been a sticking point between payers and providers, with payers arguing that it’s necessary to control costs and ensure that care is medically necessary and providers ...

-- Aetna provided an update on its efforts to streamline the healthcare experience on Thursday, one year to the day after the fatal shooting of UnitedHealth’s top insurance executive sparked a wave of ...