prior authorization
A Pledge for More Streamlined Prior Authorizations
Stakeholders from federal health agencies and leading payors have pledged to streamline the often burdensome prior ...
AUGUST 19, 2025
Access to Oncology Drugs Stymied by Prior Authorization, but Specialty Pharmacists Can Help
A centralized, pharmacy-led PA process significantly reduced those delays and their attendant burdens on patients ...
AUGUST 4, 2025
HHS and Private Health Insurers Team Up to Improve Prior Authorization Process
Stakeholders from federal health agencies and leading payors have pledged to streamline the often burdensome prior ...
JULY 14, 2025
Building a Temple to Better Specialty Care
Launched just two years ago, Temple Health's integrated specialty pharmacy program has achieved several key ...
OCTOBER 8, 2024
Adding Fertility Drugs To Specialty Pharmacy Saves Nearly $1 M/Year
Patients in Oklahoma receive specialty fertility medications far more quickly and at significantly less cost than ...
APRIL 12, 2024
New CMS Rules Streamline PAs but Exclude Drugs
CMS announced new rules for government-sponsored health insurance companies requiring them to invest in an ...
MARCH 12, 2024
AI May Not Be So Smart When Payors Use It To Deny Medical Claims
Concerns are growing about the increasing use of artificial intelligence to review—and in many cases ...
FEBRUARY 23, 2024
Pharmacists Prioritize Access to Secure Electronic Messaging, Electronic PA
Over two-thirds of pharmacists and prescribers say access to clinical information, benefit eligibility information ...
SEPTEMBER 15, 2023
Streamlining PA Rules, Plus Resources for Your e-Library!
PAs remain an entrenched tool for payors to flex their muscles to control spending. Getting up to speed on such PA ...
MARCH 31, 2023
Pharmacists Key To Speeding Up Prior Auth Times
If you want to improve your prior authorization approval rate and turnaround time for specialty medications while ...
NOVEMBER 16, 2022
Prior Authorization Ills: No Rest During COVID
Nine of 10 physicians reported that prior authorizations (PAs) have had a negative effect on clinical outcomes for ...
AUGUST 20, 2021
Center Works With Payor to Toss Cancer PAs
San Diego—Cancer care providers can partner with commercial payors to eliminate some prior authorizations ...
DECEMBER 3, 2019
