Between one-off charges, administrative fees, and office visit copays, some are trying ...

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 ...

Prior authorization requirements for PCSK9 inhibitor prescriptions are more cumbersome than those in place for other cardiometabolic drugs, a new study demonstrates. The complex processes are seen for ...

Through a new partnership with PDR, a provider of drug and consumer health information, health information network Surescripts has updated its electronic prior authorization solution. Surescripts ...

Recipients of Medicaid frequently face prior authorization hurdles when pursuing medical care or treatment. Medicaid is a ...

Please provide your email address to receive an email when new articles are posted on . PCSK9 inhibitors required more prior authorization requirements compared with other drugs for cardiometabolic ...

UnitedHealthcare plans to cut back on its use of prior authorization, removing procedures and medical devices from its list of services requiring signoff and reducing the number of authorizations from ...

When Paula Chestnut needed hip replacement surgery last year, a pre-operative X-ray found irregularities in her chest. As a smoker for 40 years, Chestnut was at high risk for lung cancer. A specialist ...