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 ...

Healthcare lease accounting insights: How two organizations got compliant and stay audit-ready all year long Healthcare organizations (HCOs) often hold multiple leases such as those for real estate, ...

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 ...

No one from AHIP, an insurance industry lobbying group formerly known as America’s Health Insurance Plans, was available to ...

UnitedHealth Group's pharmacy benefit manager, Optum Rx, said on Wednesday it would ease requirements to get insurance authorization when renewing prescriptions on about 80 drugs, aiming to reduce ...

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 ...