Prior authorizations for medication need to be refocused on their intended use: determining whether new high-cost drugs are appropriate, and not as a cost-saving tool being applied to an increasing ...

Cleveland-based MetroHealth has improved the speed and success of its medication prior authorization process with the help of AI, cutting submission times from 18 hours to around five minutes and ...

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, ...

Development and Implementation of Oral Anticancer Agent Tools for a Thematic Quality Improvement Program: A Collaboration Between Hematology Oncology Pharmacist Association and ASCO Quality Training ...

SAN FRANCISCO, June 12, 2025 /PRNewswire/ -- SamaCare, a cloud-based patient access platform for specialty medications, today announced that it has passed the 1MM milestone in prior authorizations ...

The Centers for Medicare & Medicaid Services (CMS) recently published the CMS Advancing Interoperability and Improving Prior Authorization Processes Final Rule (“PA Final Rule”) in the Federal ...

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 ...

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.

The world of prior authorization, and the hoops we need to jump through, has gotten just more and more ridiculous, bordering on the absurd, and I'm worried that things are about to get much worse.

"You mean, your doctor can prescribe something and then your insurance can just say I'm not covering that?" I glanced hopefully at the brochure a doctor at a study center handed me last year. They ...