The Health Insurance Prior Authorization Memo That You Helped Write

Recently, we put together a template to help medical professionals explain a confusing process. Readers gave us very pointed ...
The Commonwealth Fund

Rethinking Prior Authorization in Medicare Advantage

Prior authorization can help encourage the efficient use of health care resources but too often, it delays treatment patients ...
American Hospital Association

CMS releases guide on prior authorization submissions, determinations under WISeR model

The Centers for Medicare & Medicaid Services has released an operational guide for Medicare-enrolled providers and suppliers on the Wasteful and Inappropriate Service Reduction model.

Colorado to reinstate prior authorization for Medicaid patients’ therapy

Gov. Jared Polis ordered the Colorado Department of Health Care Policy and Financing to reinstate prior authorization for ...
Fierce Healthcare

Newly passed California laws tackle prior authorization, private equity in care and more

Changes to prior authorization, charity care screening and corporate influence in medicine are on the way for Californian healthcare organizations. | Several bills signed this week by Gov. Gavin ...