Nearly all those who have Medicare Advantage plans must deal with prior authorization. Now more prior authorization issues are appearing with Part D prescription drugs.

AHA comments on the Centers for Medicare & Medicaid Services information collection request regarding the Medicare Transaction Facilitator (MTF) under the Medicare drug negotiation program.

Beginning in 2014, the Centers for Medicare & Medicaid Services (CMS) has permitted Medicare Advantage insurers to offer ...

Click here for more stories. Legislation focused on prior authorization reforms is headed to the governor after Senate lawmakers approved changes to the bill Wednesday. Lawmakers said the bill is ...

Humana (NYSE:HUM) has failed in an administrative appeal submitted to the Centers for Medicare and Medicaid Services in response to its 2025 Medicare Star Ratings cut, Bloomberg News reported ...

“This bill actually starts to move the needle when it comes to prior authorization requests,” Klimesh says. “All too often myself and all my colleagues in this chamber hear from our local ...

The CMS has denied Humana’s internal appeal to improve the insurer’s Medicare Advantage bonus ratings, Humana disclosed in a filing on Tuesday in its ongoing litigation against the government ...

What happens when prescription drugs cost so much, there isn't enough room on web forms to fit the whole price? Medicare found a work-around. More from STAT: Become a ...

Prior authorization programs delay patient care, increase emotional and financial costs on patients, create administrative burdens, increase hospitalizations and cause patient harm. × This page ...

The House of Representatives is considering legislation that would reform the way payers use prior authorization. Which payers would the bill affect and how? A bipartisan group of legislators ...

Prior authorization is the process through which a doctor seeks approval from a person’s health insurance plan before ordering a specific medication or medical service. Original Medicare (parts ...