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 ...

A new rule seeks to mandate the use of electronic prior authorization in a bid to rein in a massive source of physician administrative burden. (Getty/Wavebreakmedia) The Biden administration released ...

Insurance companies often make doctors ask their permission before treating patients. This template can help medical professionals explain how it works. By Ron Lieber Ron Lieber will update this ...

Jaclyn Mayo has multiple sclerosis, an autoimmune disease that damages the nervous system and can mess with coordination and balance. To get steadier on her feet, Mayo had been trying to lose weight: ...

As healthcare stakeholders investigate ways to leverage health IT to mitigate clinician burden and improve patient safety, the next frontier for the digital health transformation could be streamlining ...

Nearly all MA enrollees are subject to prior authorization — where providers have to receive an insurers’ approval before offering a service or medication — for some types of care, according to the ...

Internal documents show contractor readiness concerns, decision delays, and high non-affirmation rates, while providers ...