Prior Authorization – Page 2 – medicarereport.org

Wednesday, March 12, 2025

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Cybersecurity Health Insurance HHS Medicare Advantage Prior Authorization

Eileen Cook March 13, 2024March 13, 2024 Cyberattack, Health Insurance, HHS, Medicare Advantage Prior Authorization, Prior Authorization

AHIP, HHS diverge on relaxing prior authorization after Change attack

(By Rylee Wilson for Becker’s Hospital Review) Suspending prior authorization requirements as providers continue to to face disruptions from the

Health Care Redesign Medicare - General Medicare Advantage Part D/Prescription Drugs

Eileen Cook March 11, 2024March 11, 2024 CMS, medicare, Medicare Advantage, Medicare Part D, Older Adults, Prior Authorization

Part D plans ramp up prior authorization

(By Rylee Wilson for Becker’s Hospital Review) Medicare Part D plans have ramped up restrictions on prescription drugs since 2011,

Health Care - General Prior Authorization

Eileen Cook February 12, 2024February 12, 2024 Healthcare Costs, Healthcare Finance, Prior Authorization

States Target Health Insurers’ ‘Prior Authorization’ Red Tape

(By Bram Sable-Smith for KFF Health News) Christopher Marks noticed an immediate improvement when his doctor prescribed him the Type

Health Care - General Health Care Finance Health Insurance Prior Authorization

Eileen Cook January 4, 2024January 4, 2024 Health Insurance, Healthcare Costs, Healthcare Reform, Prior Authorization

Woman Petitions Health Insurer After Company Approves — Then Rejects — Her Infusions

(By Lauren Sausser for KFF Health News) When KFF Health News published an article in August about the “prior authorization

CMS Medicare Advantage Part D/Prescription Drugs Prior Authorization

Eileen Cook January 3, 2024January 3, 2024 CMS, Medicare Advantage, Medicare Advantage Prior Authorization, Medicare Part D, Prior Authorization

New CMS prior authorization rule takes effect

(By Andrew Cass for Becker’s Hospital Review) A new CMS rule aiming to streamline Medicare Advantage and Part D prior authorizations

Employer Healthcare Health Insurance Prior Authorization

Eileen Cook October 3, 2023October 3, 2023 Employer Health Insurance, Health Insurance, Prior Authorization

Consumer Problems with Prior Authorization: Evidence from KFF Survey

(By Karen Pollitz, Kaye Pestaina, Lunna Lopes, Rayna Wallace, and Justin Lo for the Kaiser Family Foundation Published: Sep 29,

Medicare Advantage Prior Authorization

Eileen Cook August 24, 2023 0 Comments Cigna, Medicare Advantage, Medicare Advantage Prior Authorization, Prior Authorization

Cigna ends prior authorization requirements for 25% of procedures

(By Rylee Wilson for Becker’s Hospital Review) Cigna Healthcare has removed prior authorization requirements for more than 600 medical procedures,

Health Insurance Prior Authorization

Eileen Cook August 23, 2023 0 Comments Health Insurance, Prior Authorization

Doctors and Patients Try to Shame Insurers Online to Reverse Prior Authorization Denials

(By Lauren Sausser for KFF Health News) Sally Nix was furious when her health insurance company refused to pay for

Legislative Update Medicare - General Medicare Advantage Part D/Prescription Drugs

Eileen Cook August 17, 2023August 17, 2023 0 Comments Legislation, medicare, Medicare Advantage, Medicare Part D, Prior Authorization, Reducing Medically Unnecessary Delays in Care Act

Another House bill takes aim at prior authorizations

(By Andrew Cass for Becker’s Hospital Review) Maryland Rep. Mark Green has introduced a bill targeting prior authorization requirements in

DHS -OIG Medicaid

Eileen Cook July 20, 2023 0 Comments DHS -Office of Inspector General, Medicaid Managed Care, Prior Authorization

Medicaid managed care organizations deny 1 in 8 prior authorization requests: OIG

(By Rylee Wilson for Becker’s Hospital Review) HHS’ Office of Inspector General raised concerns about the rate of prior authorization