Prior Authorization
Prior authorization shifts burden to clinicians and leaves patients waiting
In health care, physicians are accountable for outcomes, patient access, satisfaction and costs. However, prior authorization is a process in which accountability is skewed.
Breaking down barriers: How to optimize access, use of PCSK9 inhibitors
Over the years, there have been significant changes to the dyslipidemia medication management guidelines, alongside increasing evidence for novel cholesterol-lowering medications, including PCSK9 inhibitors.
‘All of us are facing this burden’: Tips to alleviate prior authorization struggles
SAN DIEGO — Getting prior authorization for medications can be a struggle in allergy and asthma care, but creating templates and paying attention to detail can speed up the process and lead to more success, according to a presentation here.
Oz faces senators’ questions on cuts, calls CMS nomination a ‘monumental opportunity’
Senators questioned Mehmet Oz, MD, MBA, on Medicaid budget cuts, nursing shortages and his prior claims about miracle drugs during a committee hearing to be the next administrator of CMS.
Prior authorization may be an ineffective, costly barrier for patients undergoing TKA
SAN DIEGO — Prior authorization may be a barrier to cost-effective care for patients undergoing primary total knee arthroplasty, according to results presented here.
ACR cheers ‘positive first step’ in reforming prior authorization for Medicare
Prior authorization reforms, increased biosimilar access and the future of the Medicare drug price negotiation program are among the American College of Rheumatology’s top concerns in a letter recently submitted to CMS.
Survey shows radiation oncology in ‘dark place’ as prior authorization burden worsens
An American Society of Radiation Oncology survey has shined a spotlight on the impact prior authorization has on providers and patients.
Strategies enable greater success in prior authorization requests
BOSTON — Diligence and persistence are keys to success in prior authorization in allergy and asthma care, according to an abstract at the American College of Allergy, Asthma & Immunology Annual Scientific Meeting.
EHR can help automate biosimilar selection, streamline prior authorization
An electronic health record tool has demonstrated the potential to automate the selection of biosimilars.
Legislation seeks to minimize prior authorizations that ‘deny, delay and aggravate’
Attempts to curtail prior authorizations for patients insured by Medicare Advantage plans have failed in back-to-back legislative sessions in 2019 and 2021, but a new bill has some experts hopeful that the third time is a charm.