Medicare Advantage insurers had urged CMS to scrap the obesity drug coverage proposals and eliminate a health equity payment ...

There isn’t a specific form your healthcare professional needs to fill out to request prior authorization ... the Centers for Medicare & Medicaid Services (CMS) has reduced this wait time ...

While there's a lot of buzz around prior authorization, it applies to fewer ... federal and state governments that cover care through Medicaid and Medicare Advantage, and insurers.

Rep. Mark Green (R-Tenn.) reintroduced a bill Thursday seeking to reform prior authorization requirements in Medicare, Medicare Advantage, and Part D prescription drug plans requiring only ...

For comparison, the Centers for Medicare and Medicaid Services completed almost 400,000 prior authorization reviews for Original Medicare in 2023 and denied 28.8%, or 113,448 of requests received.

Tyler Johnson has again authored a bill in the Indiana General Assembly that would put some reins on “prior authorization ... employee health plans and Medicaid. Physicians and other medical ...