'They won’t help me': Sickest patients face insurance denials despite policy fixes
Ekirch said specialists have suggested that a series of infusions made from blood plasma called intravenous immunoglobulin -- ...
Becker's ASC12h
Bipartisan bill would require physician involvement in prior authorization judgements
Rep. Mark Green, MD, a Republican from Tennessee, reintroduced a bill to Congress that would reform prior authorization requirements, The Hill reported March 27. “As a survivor of both colon and ...
Axios on MSN13d
Optum to drop prior authorization requirement for dozens of drugs
Optum Rx — which includes the pharmacy benefit manager of health care conglomerate UnitedHealth Group — is dropping annual ...
Healthcare Dive13d
Optum Rx says it will eliminate 10% of prior authorizations
The massive pharmacy benefit manager plans to stop requiring coverage reauthorizations for roughly 80 drugs used to treat ...
Bipartisan bill seeks to reform prior authorization
Rep. Mark Green (R-Tenn.) reintroduced a bill Thursday seeking to nix prior authorization requirements in Medicare, Medicare ...
Fierce Healthcare4d
Bipartisan bill targets prior authorization transparency, physician decision-making
Bipartisan lawmakers have introduced a bill that aims to more closely align Medicare insurers’ prior authorization denials ...
Cancer Therapy Advisor1d
States Try to Rein in Health Insurers’ Claim Denials, With Mixed Results
In a survey last year by the American Medical Association, 93% of doctors said that insurers’ prior authorization practices ...
Healio4d
‘All of us are facing this burden’: Tips to alleviate prior authorization struggles
Getting prior authorization for medications can be a struggle in allergy and asthma care, but creating templates and paying ...
Hawai‘i Public Radio12d
Doctors call for reform on insurance practice they say impacts care and leads to burnout
Lawmakers are trying to reform a health insurance practice known as prior authorization, which was originally aimed at ...
Reform prior authorization. Don't eliminate it. | Letters
Prior authorization is one of the few tools to keep health care costs in check, ensuring that treatments are medically ...
NC Senate passes health care overhaul that would crack down on ‘surprise billing’
The bill would also ban insurance companies from using artificial intelligence as the “sole basis” for denying requests for ...
Becker's Hospital Review13d
Optum Rx to drop prior authorization for dozens of prescription drugs
Optum Rx, the pharmacy benefit manager under UnitedHealth Group, is set to eliminate prior authorization requirements for ...