Prior Authorization
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.
Q&A: AGA snubs UHC’s choice to ‘forgo transparency’ in Gold Card program for GI endoscopy
As the launch of UnitedHealthcare’s Gold Card program approaches, the AGA continues to urge the insurer to reconsider implementation of a program that could affect various gastrointestinal procedures and “threaten patient health.”
Q&A: Prior authorization limits, delays options in allergy, asthma care
Prior authorization remains a challenge for many practices despite recent changes in regulations, with obstacles specific to asthma, allergy and immunology care.
Oncologists ‘need to be active’ in advocacy
CHICAGO — When Brian E. Persing, MD, attended a state legislative white coat day that ultimately led to prior authorization legislation being passed in Mississippi, one of his colleagues asked him a blunt question.
VIDEO: Need for prior authorization creates extra hurdles for physicians
In this video, Priya J. Bansal, MD, FAAAAI, FACAAI, discusses the challenge of prior authorization and its effect on physicians as part of Healio’s Women in Allergy video corner series.