Prior authorization is the process by which your doctor must request approval from your Medicare plan before they can order a particular medication or medical service. Generally, Original Medicare ...

Forbes contributors publish independent expert analyses and insights. Jesse Pines is an expert in healthcare innovation and wellness. Health insurer prior authorization has increased considerably in ...

New regulations and new pressures on health plans could finally bring change to prior authorization. Here’s what you need to know to protect your patients’ rights, and your own. Prior authorizations ...

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 ...

Prior authorization has long been a sticking point between payers and providers, with payers arguing that it’s necessary to control costs and ensure that care is medically necessary and providers ...

With sleep apnea on the rise, more patients can benefit from sleep studies, and properly trained office staff can help minimize the risk of denials. It's incredibly frustrating to assess your patient, ...

AHIP's Jeanette Thornton details health care's prior authorization commitments as a 2027 real-time approval target approaches. Prior authorization is entering a new phase as health plans pursue ...

Please provide your email address to receive an email when new articles are posted on . An industry pledge reportedly reduced prior authorizations by 11%, and CMS proposed a rule requiring payers to ...

Survey of 412 clinicians and practice leaders: 78% of prior authorizations still go by fax, phone or portal, and 41% ...