Now, the Volpes, other patients, and their health care providers are bringing the issue to the 2025 Montana Legislature, saying it’s time Montana joined many other states in limiting how and when ...

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 ...

A House Republican has proposed a simple way to end complaints about health plan prior authorization programs: eliminate health plan prior authorization programs. Rep. Jeff Van Drew, R-N.J., has ...

Availity Vice President of Strategy & Partnerships Samantha Murphy will join a panel discussion called ‘Prior Authorization: It’s Me, Hi, I’m the Problem, It’s Me’ on Monday, February 17 ...

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 ...

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 couple is also suing Walgreens.

Many physicians and practices say prior authorization is a major administrative burden and have urged lawmakers to institute reforms to the process for commercial and public payers. Nearly 97% of ...

Optum Rx services prescription claims for more than 66 million people across the United States, according to the lawsuit. The lawsuit alleges that the Walgreens pharmacy staffers failed to offer ...

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 ...