Recently, we put together a template to help medical professionals explain a confusing process. Readers gave us very pointed ...

Prior authorization can help encourage the efficient use of health care resources but too often, it delays treatment patients ...

If you’ve ever been a patient waiting—days, sometimes more than a week—for treatment approval, or a clinician stuck chasing it, you know what prior authorization feels like. Patients sit in limbo, ...

Few readers would be surprised to read that Americans are dissatisfied with their health care coverage — an outrage that the December 2024 assassination of UnitedHealthcare CEO Brian Thompson arguably ...

While there's a lot of buzz around prior authorization, it applies to fewer than 2% of claims. Prior authorization ensures care is both safe and aligned with the most up-to-date clinical guidelines.

Navigating the healthcare system can be a complex and frustrating experience for many patients. Among the many challenges, one of the most insidious barriers to timely care is prior authorization.

GoodRx reports that starting January 2026, original Medicare will require prior authorization for certain services in six ...

CLEVELAND, Ohio — A new Medicare pilot program set to launch next year in Ohio and other states could change the way older Americans access certain medical treatments, drawing sharp criticism from ...

Ohio is one of six states testing an AI-led prior authorization program for around a dozen medical procedures for patients ...

Prior authorizations were reported by 74% of cancer survivors, of whom half of personally resolved it, representing a large time burden.