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AI can improve the prior authorization process, but there needs to be more transparency, experts said during a recent panel held by KFF.

Nearly 1 in 5 consumers with health insurance say their insurer delayed or denied care in the past year due to its requirements for prior authorization, a process through which insurers can require patients to obtain approval in advance before they will agree to cover specific services. Insurers point to prior authorization as a tool<span class="readmore-ellipsis">…</span><a href="https://www.kff.org/other/event/feb-22-virtual-event-the-health-wonk-shop-prior...

More than a year after it was initially proposed, the Biden administration announced a final rule yesterday that will change how insurers in federal programs such as Medicare Advantage use prior authorization — a long-standing system that prevents many patients from accessing doctor-recommended care. “When a doctor says a patient needs a procedure, it is […]

Patients say the often time-consuming and frustrating rules or prior authorization create hurdles that delay or deny access to the treatments they need.

Prior authorization is a common cost-cutting tool used by health insurers that requires patients and doctors to secure approval before moving forward with many tests, procedures, and prescription medications.

Prior authorization is a common cost-cutting tool used by health insurers that requires patients and doctors to secure approval before moving forward with many tests, procedures, and prescription medications.

Last summer, Eloise Reynolds paid the bill for her husband’s final stay in the hospital.

Last summer, Eloise Reynolds paid the bill for her husband’s final stay in the hospital. In February 2022, doctors said that Kent, her husband of 33 years, was too weak

Last summer, Eloise Reynolds paid the bill for her husband’s final stay in the hospital. In February 2022, doctors said that Kent, her husband of 33 years, was too weak

Prior authorization is a common cost-cutting tool used by health insurers that requires patients and doctors to secure approval before moving forward with many tests, procedures, and prescription medications.