The New Mexico Office of Superintendent of Insurance urges all health insurance consumers to actively monitor the status of any prior authorization requests submitted on their behalf. Prior ...

The nation’s biggest health insurance companies are poised to ease prior authorization, the process of insurers reviewing hospital admissions and medications. Details of the changes will be announced ...

WASHINGTON — Health and Human Services Secretary Robert F. Kennedy Jr. said Monday that the country’s largest health insurers have promised to take steps to streamline the often-criticized prior ...

Step therapy is when Medicare Part D plans ask beneficiaries to try a more affordable drug before approving higher-cost prescriptions. In Medicare, Part D covers general prescription drugs, whereas ...

Health and Human Services Secretary Robert F. Kennedy Jr., joined by officials including Centers for Medicare & Medicaid Services Administrator Mehmet Oz (second from left), speaks at a June 2025 news ...

Policy makers should continue to provide clear rules of the road, increase transparency, apply more effective oversight, and accelerate the streamlining and modernization of processes. For the first ...

Prior authorization is a barrier to accessing medications for opioid use disorder (MOUD). Although private insurance covered about one-third of patients with OUD in 2023, the understanding of prior ...

Last summer, the insurance industry broadly agreed to reform a major healthcare pain point: prior authorization. Now, two of the industry's leading organizations are offering a look at progress toward ...

Fantine Giap, MD, sat across from a 21-year-old with a rare sarcoma at the base of her skull. Despite the large tumor, nestled in a sensitive area, the Boston-based radiation oncologist could envision ...

There is a good reason for health insurers to occasionally require prior authorization for medical treatment. If a doctor prescribes an unusual, experimental, or expensive medication or procedure, the ...