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For example, HIV pre-exposure prophylaxis, or PrEP, is highly effective in reducing HIV infections, and most insurers do not require prior authorization for its use.

The rule would require prior authorization decisions within 72 hours for expedited, urgent requests and seven calendar days for standard, non-urgent requests – and denials would be required to ...

A lot of thought has gone into tackling the prior authorization problem, but taking these five steps hold much promise for enhancing patient care and decreasing the associated administrative burdens.

Medicaid managed care organizations deny prior authorization requests at high rates, according to a recent report by the Office of Inspector General. Of the 115 MCOs the OIG analyzed, 12 had prior ...

UnitedHealth Group and Cigna are relaxing prior authorization processes days before federal regulators are expected to finalize an overhaul of their administrative processes.

For example, in a week, physicians reported spending about 12 hours on prior authorization, completing an average of 43 prior authorizations. However, 27% said prior authorization requests are ...

This study examined the impact of prior authorization formularies on the likelihood that patients with schizophrenia will be arrested and incarcerated.

Prior authorization is a sore subject for payers and providers. So what if it went away? In a recent fireside chat hosted by MedCity News, Don Antonucci, CEO of Providence Health Plan, shared his ...