Add Yahoo as a preferred source to see more of our stories on Google. Two pharmacy employees work behind the counter in a pharmacy, one on the phone and looking at a computer and the other writes on a ...

Drugs were left out of a 2024 rule streamlining prior authorizations by making decisions electronic and requiring payers to ...

CHARLOTTE, N.C. — It’s one of the biggest complaints in health care: Delays in getting insurance approval for treatment. Now, some of the nation’s largest insurers said they’re making changes. Dozens ...

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 ...

A 2024 CMS rule now requires payers, including Medicare Advantage plans, Medicaid, CHIP and ACA exchange carriers, to publicly report prior authorization metrics for the first time. The public ...

Have you ever walked into the pharmacy and been told that your prescription requires a prior authorization? But your healthcare professional prescribed something for you, and you brought in your ...