While the cost of health care remains the dominant worry among Americans, the process of obtaining prior authorization from ...

One third insured adults say prior authorization is a major burden in accessing care, highlighting insurer delays and denials ...

A man with leukemia wrestles with his insurance company for access to medications to manage his excruciating pain. An oncologist is forced to delay needed treatments while arguing for health insurance ...

"Medically necessary" is often a four-letter word for patients.

The Centers for Medicare and Medicaid Services (CMS) has implemented prior authorization requirements for certain traditional ...

There is a good reason for health insurers to occasionally require prior authorization for medical treatment. If a doctor prescribes an unusual, experimental, or expensive medication or procedure, the ...

The Connecticut State Medical Society is taking aim at the health insurance industry's practice of prior authorization this legislative session. Prior authorization, also known as "precertification" ...

Christopher Marks noticed an immediate improvement when his doctor prescribed him the Type 2 diabetes medication Mounjaro last year. The 40-year-old truck driver from Kansas City, Missouri, said his ...

"Prior authorization" requires physicians to obtain approval before providing patients with certain non-emergency treatments. Insurance companies argue that prior authorization helps ensure ordered ...

The House Banking and Insurance Committee advanced a bill on Wednesday, Jan. 14 that would allow certain health care providers to be exempted from the health insurance prior authorization process.

Insurance Commissioner Vicki Schmidt told Kansas lawmakers the prior authorization process is broken, but indicated lobbyists will oppose legislation.

Massachusetts insurance regulators unveiled sweeping prior authorization reforms that would scrap pre-approval requirements for "many routine and essential" health care services, Gov. Maura Healey ...