Scheduling medical care can involve more than finding an available appointment. Depending on your insurance plan and the ...

The policy framework outlines guardrails and reforms to reduce delays, administrative burden, and disruptions to medically necessary therapy services. Developed by APTA, the American Occupational ...

Physicians shouldn’t have to beg and plead with insurers to cover the cost of lifesaving treatments.

Redesign of a prior authorization process at a proton therapy center was associated with an expedited appeals process, according to results of a study published in JCO Oncology Practice. Prior ...

The nation's largest health insurer said the change, taking effect Oct. 1, is part of a commitment to cut prior authorization ...

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 ...

UnitedHealthcare will eliminate 30% of its prior authorization requirements beginning Oct. 1, removing the requirements from ...

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 ...

UnitedHealthcare recently announced it’s cutting prior authorization requirements by 30%, including for some outpatient surgeries, by the end of 2026. Four surgeons connected with Becker’s to share ...

Getting your Trinity Audio player ready... 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 ...