Why it matters: Prior authorizations have rocketed to ... end of last year but failed to make it across the finish line.

Prior authorization requires doctors ... benefits competitors — major PBMs including Optum have announced a number of internal changes that they say make them more straightforward and effective.

Optum Rx is shifting its payment ... The PBM said these changes will reduce its overall prior authorization requirements by about 10%. The PBM industry has been under pressure from lawmakers ...

Eliminating reauthorizations, a particular model of prior authorization ... M.D., CEO of Optum Rx, in the press release. “These changes mean easier access to medications for consumers, less ...

A complete guide to lease accounting for healthcare organizations Making a successful transition to the latest lease accounting requirements such as ASC 842, IFRS 16 or GASB 87 can be a complicated ...

OptumRx will trim reauthorization requirements ... in cases of long-term safety concerns or potential dosing changes. "The prior authorization program, which I'm responsible for, always goes ...

UnitedHealth's Optum Rx pharmacy benefit manager unit ... with chronic conditions by eliminating up to 25% of the prior authorization reviews it now requires for patients who are refilling ...

UnitedHealth started to make these changes over the past year, and the company’s goal is to apply them to all prescriptions by 2028. The two largest U.S. pharmacy chains, CVS Health Corp and ...

The changes are expected to reduce prior authorizations ... certain providers to skip prior authorization for specific services. In addition, starting April 1, Optum Home & Community Care ...

Optum Rx said it plans to apply the policy to additional drugs in the future. Prior authorization requires doctors to get approval from a patient’s health or drug plan before providing a medical ...