Prior authorization could stand between you and your doctor’s care and here's what it really means, how delays happen and what do if you’re denied

The idea behind it seems reasonable: Insurers want to ensure treatments are medically necessary before they pay for them. But ...
NJBIZ

Medicaid removes prior authorization requirements for opioid addiction treatment medication

New Jersey Human Services Commissioner Carole Johnson announced on April 1, that NJ Medicaid plans will no longer require prior authorization before patients can access medication-assisted treatment ...
Becker's Hospital Review

Optum Rx to drop prior authorization for dozens of prescription drugs

Optum Rx, the pharmacy benefit manager under UnitedHealth Group, is set to eliminate prior authorization requirements for approximately 80 prescription drugs in an effort to simplify access to ...
Forbes

How Health Insurance ‘Prior Authorization’ Works. And How To Fix It

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 ...
Drug Store News

Surescripts survey: pharmacists, prescribers are frustrated with prior authorization

Surescripts has released a new survey revealing widespread frustration among prescribers and pharmacists over prior authorization requirements, which they say delay treatment and can harm patients.
Healio

Prior authorization policies linked to 2-week delay in anticancer-drug prescription fills

Please provide your email address to receive an email when new articles are posted on . After a new prior authorization policy, fills of a 30-day prescription did not occur until day 49.2. Overall, ...
STAT

Who’s choosing Americans’ medications — doctors or insurers? The bane of prior authorization

New Year’s Day, the day of new beginnings, is a day health care providers like me dread. It starts the annual deluge of requests to renew “prior authorizations” — a bureaucratic tactic that insurers ...
The Baltimore Sun

Prior authorization requirements harm patients and physicians; FTC must look into drug delaying practice | GUEST COMMENTARY

In June, the Federal Trade Commission (FTC) announced they will be launching an inquiry into the practices of the “prescription drug middleman” industry. These middlemen, known as Pharmacy Benefit ...