Medicare has selected the technology vendors who'll run its prior authorization pilot in New Jersey, Ohio, Oklahoma, Texas, ...

Prior authorization is a barrier to accessing medications for opioid use disorder (MOUD). Although private insurance covered about one-third of patients with OUD in 2023, the understanding of prior ...

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

They found that the automated diabetes GLP-1 prior authorization proportion of all diabetes GLP-1 claims grew by 17.5 percentage points, or 39.6%, from October 2024 to July 2025.

A Health Affairs study published Nov. 3 examined an increase in states banning prior authorizations in private insurance plans for opioid use disorder medications.

Nobody wants to feel caught between their health plan and their health care provider, but it happens all too often and it ...

Prior authorizations for medication need to be refocused on their intended use: determining whether new high-cost drugs are appropriate, and not as a cost-saving tool being applied to an increasing ...

Half of cancer patients who need prior authorization for treatment wind up involved personally in seeking such advance approval Most spent one to three days working on prior authorization, but some ...

When you are sick or in pain, the prior authorization process can be frustrating and will sometimes result in a denial. If you've never been through the process, prior authorization is a requirement ...

While prior authorization can be a useful tool for the health care system to save resources, it cannot be allowed to be used ...