Behemoth health insurers claim this time-wasting practice improves care and saves everyone money. Look beyond the myths and find out the facts.

The current version of Senate Bill 480 prohibits private insurance companies from requiring prior authorization for the first ...

Legislation focused on prior authorization reforms is headed to the governor after Senate lawmakers approved changes to the ...

The Iowa legislature has unanimously voted to set deadlines for insurance companies being asked to authorize treatment, ...

Will artificial intelligence finally streamline the cumbersome prior authorization process — or just add a new layer of ...

Rep. Mark Green (R-Tenn.) reintroduced a bill Thursday seeking to reform prior authorization requirements in Medicare, Medicare Advantage, and Part D prescription drug plans requiring only ...

The North Carolina Senate passed a comprehensive bill Thursday aimed at increasing transparency in health care billing, lowering costs, and speeding up the process of prior authorization for ...

Several states are considering regulating how insurers can use AI in prior authorization. In January, a California law took effect that prohibits payers from making coverage decisions based solely on ...

Our state’s patient advocates and health care providers are committed to ensuring all North Dakotans have access to high-quality, medically necessary health care when they need it most.

If you or someone you know has experienced the frustration of a delayed medical procedure or a denied prescription due to prior authorization, you’re not alone. That’s why Indiana lawmakers ...

There isn’t a specific form your healthcare professional needs to fill out to request prior authorization. They can submit their request directly to Medicare by fax or mail, through the ...

Reauthorization is a type of prior authorization, a process used by insurers and PBMs to help determine the medical necessity of services, procedures and medications before coverage. Insurance ...