New regulations and new pressures on health plans could finally bring change to prior authorization. Here’s what you need to know to protect your patients’ rights, and your own. Prior authorizations ...

Prior authorization is the process by which your doctor must request approval from your Medicare plan before they can order a particular medication or medical service. Generally, Original Medicare ...

Prior authorization is one of the biggest administrative burdens family physicians face, and increasing requirements are taking time away from patient care and putting financial strain on practices.

Forbes contributors publish independent expert analyses and insights. Jesse Pines is an expert in healthcare innovation and wellness. Health insurer prior authorization has increased considerably in ...

AHIP's Jeanette Thornton details health care's prior authorization commitments as a 2027 real-time approval target approaches. Prior authorization is entering a new phase as health plans pursue ...

Forbes contributors publish independent expert analyses and insights. Jesse Pines is an expert in healthcare innovation and wellness. Dr. Mehmet Oz, CMS Administrator, has been a lead figure on prior ...

Prior authorization has long been a sticking point between payers and providers, with payers arguing that it’s necessary to control costs and ensure that care is medically necessary and providers ...

Original Medicare rarely needs prior authorization, but nearly 99% of Medicare Advantage plans require it for expensive or specialized care. Starting in 2026, new CMS mandates require Medicare plans ...

Prior authorization is the process through which a doctor seeks approval from a person’s health insurance plan before ordering a specific medication or medical service. Original Medicare (parts A and ...