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

Why Prior Authorization Still Matters When you join a Medicare Advantage plan, your care sometimes requires an extra step ...

GoodRx reports that starting January 2026, original Medicare will require prior authorization for certain services in six ...

Providers are betting on artificial intelligence to ease the pain point of prior authorization, a new survey shows. Cohere Health, which provides clinical intelligence to insurers and risk-bearing ...

Half of cancer patients who need prior authorization for treatment wind up involved personally in seeking such advance approval Most spent one to three days working on prior authorization, but some ...

If you are covered by a Medicare Advantage plan, you may have been required to secure prior authorization before a medical procedure. This is because Medicare Advantage plans are administered by ...

AI-driven prior authorizations (PAs) are trusted by many clinicians, promising to streamline processes and reduce administrative burdens. Concerns exist about AI increasing denial rates and lacking ...

Over the past few months, Austin-based breast reconstruction surgeon Elisabeth Potter, MD, has become notable for her social media videos giving insight into the real-world interactions of physicians ...

Three new studies highlighted the growing burden of prior authorization on both oncologists and patients. Findings from a survey of radiation oncologists, for instance, revealed that more than 80% ...

Therapists treating Medicaid enrollees in Colorado will have to get the state’s authorization to conduct more than 24 sessions with an individual patient in a year, as the department overseeing the ...