Prior authorization is one of the few tools to keep health care costs in check, ensuring that treatments are medically ...

If you or someone you know has ever experienced the frustration of a delayed medical procedure or a denied prescription due ...

The massive pharmacy benefit manager plans to stop requiring coverage reauthorizations for roughly 80 drugs used to treat ...

Lawmakers are trying to reform a health insurance practice known as prior authorization, which was originally aimed at ...

The PBM plans to stop requiring coverage authorization for about 80 drugs, including Vertex’s cystic fibrosis medicines and ...

The representatives from the Leukemia & Lymphoma Society and HIV+Hepatitis Policy are asking state insurance regulators to ...

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 ...

Optum Rx, the pharmacy benefit manager under UnitedHealth Group, is set to eliminate prior authorization requirements for ...

UnitedHealth Group’s pharmacy benefit manager OptumRx plans to cut up to 25% of its medication reauthorizations. OptumRx will ...

Everybody’s been denied some form of care,’ said one California mental health advocate. Now, lawmakers are advancing new ...

As you and your doctor talk about a treatment plan for the medical issue you came to discuss your assumption is that there ...

Optum Rx has eliminated prior authorization for almost 70 drugs for chronic diseases, about 10% of its overall pharmacy prior ...