Wellcare, part of Centene Corporation, is an insurance company based in St. Louis, Missouri that offers a variety of Medicare ...

Will your care be denied? Medicare Advantage insurers use prior authorization to manage utilization and lower costs. How to ...

The challenge of ensuring that all patients have access to affordable, high-quality care will not be solved by setting up ...

Understanding the reasoning and process of Medicare Advantage prior authorization can help you gain faster approval for a required prior authorization.

Debra Patt, MD, PhD, MBA, MPH, warns that prior authorization barriers are delaying critical cancer treatments and urges a ...

The Cigna Group will spend up to $150 million to reform its prior authorization, patient advocacy and provider services this ...

Ending prior authorization for care, publishing denial rates, and forcing speedy and fair appeals are key steps.

Health insurers now routinely refuse to pay for more expensive drugs or procedures until they have issued a “prior authorization.” Prior authorization is designed to prevent a physician from ...

UnitedHealthcare will ease prior authorization requirements for its Medicare Advantage plans, UnitedHealth Group CEO Andrew Witty said Thursday. In his first public remarks since the murder of ...

Many physicians and practices say prior authorization is a major administrative burden and have urged lawmakers to institute reforms to the process for commercial and public payers.

An analysis by KFF released Jan. 28 found that Medicare Advantage insurers made nearly 50 million prior authorization determinations in 2023. The finding reflects continued year-over-year increases ...