The governor signed a bill on Wednesday that changes laws around prior authorization. Prior authorization is a process where ...

Other companies with high/extremely high prior authorization burdens include Humana (64%), Anthem/Elevance (59%), Aetna (57%), Cigna (55%), and Blue Cross Blue Shield (54%).

4x faster trend analysis to identify utilization pattern changes and outliers "Health plans want to support providers in delivering appropriate patient care and reducing abrasion," notes Cohere ...

Why do prior authorizations take so long? Is prior authorization required for emergency services ... Kids can't swallow medications that are in tablet form, a lot of times—even 14-year-olds. Some kids ...

If your patient's medical condition warrants the use of a quantity greater than the listed quantity for a drug, you may submit a Pharmacy Quantity Limit Exception Prior Authorization Form to request ...

“To protect patient-centered care for the 28 million older Americans who rely on Medicare Advantage, physicians urge CMS to finalize the proposed policy changes and strengthen its prior authorization ...