Between one-off charges, administrative fees, and office visit copays, some are trying ...

Artificial intelligence has become healthcare’s favorite scapegoat, especially in insurance. Every denied claim, every delayed approval, every inexplicable “not medically necessary” response seems to ...

Jaclyn Mayo has multiple sclerosis, an autoimmune disease that damages the nervous system and can mess with coordination and balance. To get steadier on her feet, Mayo had been trying to lose weight: ...

Prior authorization is a major noncost barrier, affecting 69% of insured adults, with 34% citing it as their biggest challenge. Delays and denials from prior authorizations significantly impact mental ...

Requirement for prior authorization more common for patients identifying as Black, Hispanic and with non-Medicare insurance.

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 ...

Medicare Advantage prior authorizations have few friends. Doctors hate them. Patients hate them. Politicians say they hate them and introduce bills to curb them. But how onerous are they really? Less ...

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 ...

Health plans under major U.S. insurers said they have voluntarily agreed to speed up and reduce prior authorizations – a process that is often a major pain point for patients and providers for getting ...

The current prior authorization system in orthopedics leads to unnecessary denials and delays that could be improved with a level of standardization, according to this orthopedic surgeon. A new ...

SAN FRANCISCO, June 12, 2025 /PRNewswire/ -- SamaCare, a cloud-based patient access platform for specialty medications, today announced that it has passed the 1MM milestone in prior authorizations ...