Prior authorization & UM

Prior authorization, ACA subsidy votes in lame-duck session?

Following the Democratic wave in the midterm elections, Congress could act on measures to reform prior authorization (PA) and restore ACA marketplace subsidies, say policy analysts. Both initiatives to cut PA and to restore COVID-era ACA marketplace subsidies…

Aetna bundles cancer treatment prior authorizations following industrywide scrutiny

A number of large insurers have pledged to reduce prior authorizations in the past year.

CMS-0057-F: Adapting Workflows for Prior Authorization APIs

Expanding Electronic Prior Authorization for Self-Funded Health Plans

Prior authorizations bundled

Humana and athenahealth expand electronic prior authorization

Also covered by Becker's Payer Issues

7 Potential Problems with Medicare’s AI Prior Authorization Experiment