R1 Prior Authorization, Now Powered by the Phare OS, Accelerates Care, Reduces Costs and Improves Accuracy

Powered by Phare Access – the smart patient access hub of R1’s Phare Operating System – R1 Prior Authorization manages the ...
Healio

Rule streamlining prior authorization is a step forward for primary care, 'but not a leap'

Please provide your email address to receive an email when new articles are posted on . CMS finalized a rule to streamline prior authorization requests and make the process more transparent. Experts ...
Becker's Hospital Review

‘A step in the right direction’: Payer, provider groups weigh in on new prior authorization rule

CMS finalized a rule Jan. 17 aiming to streamline the prior authorization process and improve the electronic exchange of health information that it estimates will save $15 billion over 10 years. ACHP ...

Gov. Maura Healey unveils insurance reforms to speed access to health care

Massachusetts regulators would eliminate many prior authorization rules, speed urgent approvals and form a working group to ...
The American Journal of Managed Care

Dr Christopher Phillips on Prior Authorization and Step Therapy in Rheumatology

Christopher Phillips, MD, a rheumatologist in Kentucky, discusses the back-and-forth that providers have with insurers in trying to get therapies approved for reimbursement. Providers often have to go ...
HealthLeaders Media

Health insurers take major accountability step on prior authorization

The nation’s biggest health insurance companies are poised to ease prior authorization, the process of insurers reviewing hospital admissions and medications. In a social media landscape shaped by ...
AOL

Step therapy prior authorization in Medicare

Step therapy is when Medicare Part D plans ask beneficiaries to try a more affordable drug before approving higher-cost prescriptions. In Medicare, Part D covers general prescription drugs, whereas ...
HealthLeaders Media

Reforming prior authorization: The next step to helping both sides of the stethoscope

As an emergency room physician, I know that time is one of a medical professional’s most vital resources. You could have a great doctor and a solid treatment plan, and catch the disease at its very ...
Heartland

Biden Administration Takes Steps to Reform ‘Prior Authorization’

The Biden administration finalized a new rule on how insurers can use prior authorization (PA), a practice aimed at reducing unnecessary treatment, but a headache for doctors and patients. The new ...
The American Journal of Managed Care

Medicare Advantage Coverage Restrictions for the Costliest Physician-Administered Drugs

Four large Medicare Advantage insurers manage access to expensive physician-administered drugs with a combination of prior authorization, step therapy, and Part D formulary design. Objectives: To ...
Southeast Missourian

The problem with prior authorization in health care

If you've ever undergone a medical procedure, you've probably encountered prior authorization. It is the process your doctor must go through to determine what portion (if any) your insurance will pay.