Medicare Advantage prior authorization (PA) is the process you go through to get certain services and drugs approved before ...
Quinterno said laws trying to limit the scope of prior authorizations are trying to remove patients “caught up in a byzantine ...
House Republicans plan to reintroduce legislation that would reform how North Carolinians are affected by health insurers' prior authorization policies for treatments, medications and procedures. The ...
Insurers say they help lower patient costs by helping people avoid unnecessary or inappropriate health services.
(THE CONVERSATION) Medicare Advantage – the commercial alternative to traditional Medicare – is drawing down federal health care funds, costing taxpayers an extra 22% per enrollee to the tune of US$83 ...
When it comes to health insurance, prescription drugs and other health costs, January 2025 was not a boring month.
A new rule requires insurers to improve coverage of PrEP, which can prevent HIV, but Georgians face challenges getting the ...
Georgia has big racial and gender discrepancies in PrEP uptake, said Patrick Sullivan, who is an epidemiology professor at Emory University and leads AIDSVu and PrEPVu, which track HIV data and access ...
Prior authorizations are the way MA managed care plans pre-approve some procedures before they’ll pay for them.
Will your care be denied? Medicare Advantage insurers use prior authorization to manage utilization and lower costs. How to compare plans during open enrollment.