Prior authorization is the process through which a doctor seeks approval from a person’s health insurance plan before ordering a specific medication or medical service. Original Medicare (parts ...

Rep. Mark Green, MD, of Tennessee has reintroduced legislation taking aim at prior authorization requirements in Medicare, Medicare Advantage and Part D prescription drug plans. Five things to ...

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CMS Rule 0057 requires health plans to develop and support FHIR-based APIs to enable electronic prior authorization (ePA). Whether return on this investment stops at ...

There’s been a lot of noise around this topic recently. We don't want to come out and say, "let me just explain prior auth to you." What we're trying to do is say, "We know we can be better.

This story also ran on CBS News. It can be republished for free. Do you have experience with prior authorization you’d like to share with us for KFF Health News’ reporting? Tell us here. Sometimes, as ...

Among the legislation, HB1574 was signed, an act to amend current Arkansas laws regarding paid canvassers ... to require prior authorization for breast reconstruction surgeries; to establish ...

meaning that all funds paid for residential units will be under the direct supervision of the Authority. In the same context, he pointed out the approval of the initial bond, that will be ...

Rep. Mark Green (R-Tenn.) reintroduced a bill Thursday seeking to reform prior authorization requirements in Medicare, Medicare Advantage, and Part D prescription drug plans requiring only ...

The website gave me a 'proposed' direct debit amount which is about £50 per month less than what is deducted from my salary. It said I would pay this from June 2025 to December 2026, which fits ...

Our state’s patient advocates and health care providers are committed to ensuring all North Dakotans have access to high-quality, medically necessary health care when they need it most.