"Medically necessary" is often a four-letter word for patients.

Between one-off charges, administrative fees, and office visit copays, some are trying ...

Prior authorizations, one of health insurers’ many “utilization management” techniques, is a hot topic amongst practicing physicians, patients, and regulators, to name a few. The prior-authorization ...

Please provide your email address to receive an email when new articles are posted on . Be meticulous in checking the accuracy of your applications before submitting them. Use resources from the ACAAI ...

Recipients of Medicaid frequently face prior authorization hurdles when pursuing medical care or treatment. Medicaid is a ...

Please provide your email address to receive an email when new articles are posted on . PCSK9 inhibitors required more prior authorization requirements compared with other drugs for cardiometabolic ...

Prior authorization requirements for PCSK9 inhibitor prescriptions are more cumbersome than those in place for other cardiometabolic drugs, a new study demonstrates. The complex processes are seen for ...

This article highlights challenges in prior authorization and offers practical, experience-based strategies to streamline workflows, reduce delays, and improve patient access to necessary treatments.

PHILADELPHIA, PA, UNITED STATES, January 27, 2026 /EINPresswire.com/ — Ethermed, an AI-powered healthcare automation company, today announced a partnership with ...

UnitedHealthcare plans to cut back on its use of prior authorization, removing procedures and medical devices from its list of services requiring signoff and reducing the number of authorizations from ...

Maybe this scenario sounds familiar: You or a loved one go to pick up a prescription or to access a health care service, only to learn that it requires a prior authorization. Prior authorization — a ...