Prior authorization was rated a major burden by 32% of insured adults and the single greatest barrier by 34%, surpassing ...

Some physician practices are charging patients for prior authorization requests or requiring annual administrative fees for such requests and letters of medical necessity, among other services. In ...

Prior authorization forces doctors to spend 13 hours a week fighting insurers. New federal rules are changing that. Here's ...

The Centers for Medicare & Medicaid Services recently announced a pilot program that will use artificial intelligence and machine learning. This program will be used, among other things, to oversee ...

When utilization review is required by health insurers before patients can receive services or treatments, it is called prior authorization (PA). 2, 3 (Table 1) Stated goals of PA include screening ...

Editor’s note: David Charles is a practicing neurologist and chief medical officer at the Alliance for Patient Access. The first draft of this piece was written by Amanda Conschafter, communications ...