Strengthen your financial backup. Even with Medicare coverage, unexpected out-of-pocket expenses can pop up. Earn as much as ...

An insurance company often requires this type of preapproval for certain services, procedures, prescription medications, and medical supplies. Your healthcare team can often help you navigate this ...

As congressional Democrats and Republicans battle over how to avert a potential government shutdown, another issue -- reining in prior authorizations -- remains on both parties' radar screens, ...

While there's a lot of buzz around prior authorization, it applies to fewer than 2% of claims. Prior authorization ensures care is both safe and aligned with the most up-to-date clinical guidelines.

The idea behind it seems reasonable: Insurers want to ensure treatments are medically necessary before they pay for them. But ...

In October, CMS announced the launch of a new prior authorization demonstration that would introduce new requirements for select services. This comes just four months after news of an agreement ...

The Centers for Medicare and Medicaid Services has announced a prior authorization program pilot for original Medicare. The six-year voluntary Wasteful and Inappropriate Service Reduction Model (WISeR ...

Large health insurance companies vowed to cut down the use of and improve a common tool to vet requests before letting doctors bill for medical services or prescriptions. UnitedHealthcare, Blue Cross ...

Health insurance companies across the country have agreed to streamline and simplify the prior authorization process for patients seeking certain medical treatment, according to a nationwide industry ...

As the year comes to a close, the Trump administration seems to be going in two different directions when it comes to the use ...

Democrats are raising concerns about a new CMS pilot program testing prior authorization requirements, which make patients get their health plan’s approval before receiving certain services, in ...