If you or someone you know has experienced the frustration of a delayed medical procedure or a denied prescription due to prior authorization, you’re not alone. That’s why Indiana lawmakers are ...

Many private health insurers require medical providers to get approval before administering treatment, sometimes resulting in delayed or denied care for patients. Now, that tactic, known as prior ...

The first specialty medications added, Vivitrol and Epidiolex, are used to treat substance use disorder and epilepsy. “CVS Caremark and Surescripts share a commitment to transform the prior ...

Forbes contributors publish independent expert analyses and insights. Jesse Pines is an expert in healthcare innovation and wellness. This voice experience is generated by AI. Learn more. This voice ...

For years, Americans have been caught in a destructive healthcare bind: they need vital medical procedures, but they must first navigate a bureaucratic minefield known as prior authorization. I felt ...

NPR's Michel Martin speaks with American Medical Association President Bruce Scott about how physicians and patients are burdened by insurance companies' systems of prior authorization. A lot has been ...

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 ...

Aetna, a CVS Health company, announced its support of initiatives championed by American’s Health Insurance Plans to improve the experience of doctors and patients. Aetna said it also is committed to ...

UnitedHealth and CVS Health have moved to standardize data and submission requirements for a majority of their prior authorization requests, aiming to reduce delays and paperwork for patients and ...

Prior authorization remains one of the most resource-intensive and provider-friction–heavy processes for health plans, further complicated by growing regulatory requirements under CMS-0057. As ...

Prior authorization has long been a source of friction for providers and patients alike. In this interview, Dr. Michelle Gourdine, Chief Medical Officer at CVS Caremark, explains how the organization ...

A faster, easier prior authorization experience ensures providers can focus on their patients, helps ensure members get their medications quickly CVS Caremark is using Surescripts Touchless Prior ...