Prior authorization requirements are a hallmark of American health care — and for some, they’re long overdue for reform. In North Carolina, a bill to restrict prior authorization — or even ...

Prior authorization for medical care was started in the mid-1980s as a marketing scheme by health insurance companies. I know. I was in the room where it happened when I was an officer of the ...

The family of Cole Schmidtknecht accuse OptumRx and Walgreens of having ... t describe the process and criteria for obtaining prior authorization on its website. They contend OptumRx decided ...

An Indiana lawmaker has reintroduced legislation that would cap all prior authorization rates at 1%, the Indiana Capital Journal reported Jan. 23. The proposed bill would also ban prior authorization ...

them mentality. In Massachusetts, health plans are required by state law to collaborate with physicians to develop medical necessity guidelines used for prior authorization. With this strong ...

They told him there were no cheaper alternatives or generic medications available, they didn't contact OptumRx to request an exception on Cole's behalf, and they didn't ask Cole's doctor to ...