GoodRx reports that prior authorizations by insurers can delay medication access, taking days to weeks. Appeals and urgent ...

Preauthorization is about to enter the lives of many seniors who have chosen traditional Medicare over MA, write former CMS ...

Prior-authorization requirements have increased significantly over the past few years. For example, virtually all enrollees in Medicare Advantage plans are required to obtain prior authorization ...

Delays in prior authorization can in turn delay treatment — and therefore relief — for suffering patients. (While the majority of prior authorization requests are approved, the share of denials is ...

A 2024 report from KFF found Medicare Advantage insurers fully or partially denied 7.4% (3.4 million) of claims submitted for health care pre-authorization in 2022, a sharp jump up from 5.8% in ...

Consistent with prior arguments that administrative burden is a mechanism of inequality, I found in my survey that less affluent patients are less likely to appeal coverage denials, as are those ...

As policymakers review legislation this year, they should pay more attention to these prior authorization practices and the danger they create for patients like me. Mari Velar, Tampa, Fla.