The New York Times on Tuesday examined how some physicians and pharmacists maintain that many medications covered by Medicare prescription drug plans are "not readily available" to beneficiaries ...

Humana is working with a health IT company to roll out an electronic prior authorization model that enables physicians to simplify prescription prior authorization requests so patients can get quicker ...

Prior authorizations for medication need to be refocused on their intended use: determining whether new high-cost drugs are appropriate, and not as a cost-saving tool being applied to an increasing ...

Massachusetts insurance regulators unveiled sweeping prior authorization reforms that would scrap pre-approval requirements ...

Enrollees in Medicaid plans employing prior authorization policies for opioid medications may have lower rates of opioid medication abuse and overdose. ABSTRACTObjectives: The US opioid medication ...

WOONSOCKET, R.I. CVS Caremark has teamed up with BlueCross BlueShield of Tennessee and Horizon Blue Cross Blue Shield of New Jersey to afford physicians and other providers who prescribe medications ...

Obtaining prior authorization for prescription medications is a time-consuming process for prescribers, patients and pharmacists that currently requires phone calls, faxes and hard-copy request forms.

Cleveland-based MetroHealth has improved the speed and success of its medication prior authorization process with the help of AI, cutting submission times from 18 hours to around five minutes and ...

Surescripts®, the nation's leading health intelligence network, today announced a major expansion of its Touchless Prior Authorization technology, now reaching more than 76,000 prescribers across the ...

New Jersey Human Services Commissioner Carole Johnson announced on April 1, that NJ Medicaid plans will no longer require prior authorization before patients can access medication-assisted treatment ...