Over 6 million Americans on Medicare will now need to get prior authorization from AI for these 17 procedures

A six-state pilot program will target “wasteful care” under Medicare, Centers for Medicare & Medicaid Services says.
Forbes

Do You Know If Your Medicare Advantage Plan Requires Prior Authorization?

Forbes contributors publish independent expert analyses and insights. Diane Omdahl is a Medicare expert who keeps her readers in the know. My 90-year-old uncle, a retired county employee, has had a ...
MedPage Today on MSN

Medicare Is of Two Minds on Prior Authorization

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

The Health Insurance Prior Authorization Memo That You Helped Write

Recently, we put together a template to help medical professionals explain a confusing process. Readers gave us very pointed feedback, so we updated it. By Ron Lieber Two months ago, I shared my tale ...
NPR

How prior insurance authorization affects physicians and the care they give patients

NPR's Michel Martin speaks with American Medical Association President Bruce Scott about how physicians and patients are burdened by insurance companies' systems of prior authorization. A lot has been ...
The New York Times

A Message From Your Doctor About the Prior Authorization Process

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 ...
Healthcare Dive

CMS finalizes rule tightening prior authorization turnaround for insurers

Payers have new deadlines to issue prior authorization decisions — 72 hours for urgent requests and seven days for non-urgent ones. Prior authorization is a process wherein a doctor must get approval ...
Healio

Q&A: Prior authorization limits, delays options in allergy, asthma care

Please provide your email address to receive an email when new articles are posted on . Most medications in allergy and asthma care require prior authorization. Providers should screen for failed ...
New York Magazine

‘Delay’ and ‘Deny’: The Outrage Over Prior Authorization

Editor’s Note: This story was published last year, before the murder of UnitedHealthcare’s chief executive, which is drawing renewed attention to how the insurance industry denies care to patients.