https://primaryimmune.org/advancing-pi-research-and-clinical-care/getting-prior-authorization
Health insurance prior authorization for patients with primary immunodeficiency (PI) can be tricky, especially for immunoglobulin (Ig) replacement therapy. Get...
prior authorizationimmune deficiencygettingfoundation
https://www.statnews.com/2025/11/06/medicare-wiser-prior-authorization-pilot-tech-vendors/
Nov 7, 2025 - Medicare has picked six technology vendors to run its prior authorization experiment in New Jersey, Ohio, Oklahoma, Texas, Arizona, and Washington
prior authorizationmedicarepickstechfirms
https://hrexecutive.com/stuck-in-the-middle-patients-blame-prior-authorization-for-healthcare-burdens/
Nov 25, 2025 - This expert says prior authorizations affect the healthcare system, driving up costs and causing frustration for many involved.
prior authorizationblamedstuckpatients
https://www.wbur.org/news/2026/01/14/healey-unveils-plan-to-reform-health-care-insurance-prior-authorization-requirements
Massachusetts insurance regulators unveiled sweeping prior authorization reforms that would scrap pre-approval requirements for
health care insuranceprior authorizationunveilsplanreform
https://www.ama-assn.org/practice-management/prior-authorization/new-prior-authorization-reforms-show-power-physician
In $15 billion CMS regulatory win on prior authorization, physicians’ voices made a huge difference. Who says? CMS Administrator Chiquita Brooks-LaSure.
prior authorizationphysician advocacynewreformsshow
https://www.ama-assn.org/practice-management/prior-authorization
Prior authorization requirements can lead to negative clinical outcomes. Get the latest resources and information and learn more about how the AMA is leading...
american medical associationprior authorization
https://www.kff.org/medicaid/prior-authorization-process-policies-in-medicaid-managed-care-findings-from-a-survey-of-state-medicaid-programs/
Sep 8, 2025 - This brief examines state policies related to prior authorization processes in Medicaid managed care and includes findings about how states approach prior...
prior authorizationmanaged careprocesspoliciesmedicaid
https://www.ama-assn.org/practice-management/prior-authorization/what-doctors-wish-patients-knew-about-prior-authorization
AMA Immediate Past President Jack Resneck Jr., MD, explains how the cost-control practice delays care. Patients can help the AMA tackle prior authorization.
prior authorizationdoctorswishpatientsknew
https://www.kff.org/from-drew-altman/why-we-are-stuck-with-prior-authorization-review/
Nov 20, 2025 - Prior authorization review frustrates patients and physicians, but we likely can’t just eliminate it. In his new column, President and CEO Dr. Drew Altman...
prior authorizationstuckreviewkff
https://www.aad.org/member/practice/drugs/prior-authorization
Streamline appeals for over 50 dermatology drugs with our letter tool. Create customizable letters with medical rationales and references written by AAD...
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https://www.medicareresources.org/glossary/medicare-prior-authorization/
Nov 11, 2025 - If a health plan requires prior authorization for a specific medical service, it means that the patient’s medical provider must obtain approval from the plan...
prior authorizationmedicareorg
https://www.verywellhealth.com/prior-authorization-1738770
Learn about the reasons your health insurance plan requires prior authorization for certain medical procedures.
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https://www.kff.org/public-opinion/poll-people-view-prior-authorization-as-greatest-burden-in-navigating-the-health-system/
Feb 2, 2026 - New KFF polling explores the challenges beyond costs that people with insurance face in navigating the health care system. People cite prior authorization...
prior authorizationpollpeopleviewgreatest
https://schrier.house.gov/media/in-the-news/democrats-introduce-legislation-block-wiseer-prior-authorization-model?ref=merionwest.com
House Democrats on Friday introduced legislation to get rid of the WISEeR model for prior authorization in traditional Medicare.
prior authorizationdemocratsintroducelegislationblock
https://www.kqed.org/science/2000002/delay-and-deny-even-health-insurance-companies-agree-prior-authorization-process-is-broken
Feb 11, 2026 - California is one of 31 states that passed laws in 2025 limiting insurance companies’ use of prior authorization to approve or deny medical treatments.
health insuranceprior authorizationevencompaniesagree
https://www.kff.org/patient-consumer-protections/kff-health-tracking-poll-public-finds-prior-authorization-process-difficult-to-manage/
Sep 12, 2025 - Following a pledge by insurance companies to reduce the burden of prior authorizations, KFF's Health Tracking Poll examines the publics experience with...
prior authorizationkffhealthtrackingpoll
https://www.healthcaredive.com/news/blue-shield-of-california-salesforce-prior-authorization-ai/730526/
The collaboration comes amid controversy about claims automation technology. Paul Markovich, CEO of Blue Shield of California, promised to keep a...
blue shieldcaliforniapartnerssalesforceautomate
https://www.ama-assn.org/practice-management/prior-authorization/boost-older-adults-access-care-fixing-prior-authorization
The black-box prior authorization delays and denials in Medicare Advantage have to stop. A bipartisan bill reintroduced in Congress is a start.
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https://canada-pharmacy-online.su/prior-authorization-requirements-for-medications-explained
Prior authorization is a common insurance requirement for certain medications. Learn how it works, why it's used, what to do if it's denied, and how...
prior authorizationrequirementsmedicationsexplained
https://fire.ly/use-case-electronic-prior-authorization-epa/
Sep 8, 2025 - The Clock is Ticking CMS-0057-F has made one thing clear: electronic Prior Authorization (ePA) is no longer optional. By 2026, payers must support FHIR-based...
use caseprior authorizationelectronic
https://www.highmark.com/content/digital-marketing/en/highmark/highmarkdotcom/home/employer/thought-leadership/health-insurance-cost-management/simplifying-prior-authorization
Across the industry, the current state of utilization review and management is too often a barrier to good health. While prior authorizations are intended to...
prior authorizationhighmark
https://isalushealthcare.com/products/electronic-prior-authorization/
Nov 28, 2023 - OfficeEMR is integrated with CoverMyMeds Real-Time Benefit Checks & Electronic Prior Authorizations to provide prescribers with prescription price...
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https://www.mrioa.com/using-data-driven-insights-to-streamline-pa-effectively/
Sep 30, 2025 - Learn how payers can streamline prior authorization with data-driven insights, reducing burden, improving satisfaction & saving $1.7M annually.
prior authorization
https://www.waystar.com/our-platform/financial-clearance/authorizations/
Oct 8, 2025 - By automating prior authorizations, Waystar clients have doubled productivity, enhanced care + cut denials in half. See how prior auth works.
waystarauthorizationplatformpriorsolutions
https://www.aarp.org/medicare/faq/what-is-medicare-prior-authorization/
When you need permission before getting coverage
prior authorizationmedicare