Imposing a new prior authorization requirement increased the likelihood that older patients with cancer will delay or stop filling their prescription for oral anticancer drugs, a new study showed.

Forbes contributors publish independent expert analyses and insights. Jesse Pines is an expert in healthcare innovation and wellness. This voice experience is generated by AI. Learn more. This voice ...

Recent legislation aims to streamline processes and reduce denials but does not yet cover all scenarios, such as changes in medical necessity during procedures. Further legislative efforts are needed ...

Prior authorization requirements cost the U.S. healthcare system an estimated $35 billion each year, and their overuse has triggered a backlash, stirring some policymakers into action. Whether these ...

Seven years in, supporters hope the answer is finally yes ...

Health insurance exists to protect people, providing access to routine or potentially lifesaving care without breaking the bank. However, having insurance does not necessarily guarantee access or ...

Emblem Health’ s chief financial officer knows that prior authorization — where patients have to get advance clearance for a procedure from their insurance companies through their providers — can be ...

Despite the horror tales of patients being denied or delayed care for medical procedures, lawmakers have failed to legislate change that fixes ongoing problems with prior authorization. (Getty ...

This article highlights challenges in prior authorization and offers practical, experience-based strategies to streamline workflows, reduce delays, and improve patient access to necessary treatments.

Staff at Arkansas' Harmony Park Family Medicine have been excited about streamlining the prior authorization process with the goal of improving patient access to high-quality care. Prior authorization ...

This voice experience is generated by AI. Learn more. This voice experience is generated by AI. Learn more. Angela Palo is COO of Pinnacle Financial Services, a leading National Medicare Brokerage, ...