Humana, the second-largest provider of Medicare Advantage Plans, has pledged to streamline the often frustrating Prior ...

The US Court of Appeals for the Federal Circuit clarified that while applicant-admitted prior art (AAPA) may be cited as evidence of ...

Inappropriate denials for prior authorization and coverage of medically necessary services are a pervasive problem among ...

Health insurer Humana is scaling back the number of medical services subject to prior approval and speeding up decisions ...

A bill intent on reforming the pre-authorization process in Delaware passed both chambers and is now under consideration from ...

But health policy analysts say prior authorization — a system that forces some people to delay care or abandon treatment — may continue to pose serious health consequences for affected patients.

Blue Cross Blue Shield of Alabama says it's reforms will provide a simpler, more efficient system for patients and doctors.

He noted that health insurers made “past promises” to improve prior authorization in 2018. Meanwhile, it also remains unclear what services insurers will ultimately agree to release from prior ...

AI for prior authorization determinations in a recent survey. A Senate investigation shows they’re right to worry.

Health insurance companies have made similar promises to revamp prior authorization in the past—in both 2018 and 2023, some insurers pledged to improve the process.

Sometimes, this "prior authorization" process requires faxing paperwork, getting denials and going through an appeals process.