Forbes contributors publish independent expert analyses and insights. Jesse Pines is an expert in healthcare innovation and wellness. This voice experience is generated by AI. Learn more. This voice ...

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Payer updates and policy changes delay reimbursement; Leaders say automated solutions can help fight back. The tug-of-war between providers and payers over prior authorizations is a consistent and ...

The same hurdles facing physicians slow treatment for nurse practitioners’ patients, and the impact on care continues.

Research indicates that prior authorizations for drugs take physician practices and pharmacies 15 to 64 minutes to complete ...

Prior authorization requirements for PCSK9 inhibitor prescriptions are more cumbersome than those in place for other cardiometabolic drugs, a new study demonstrates. The complex processes are seen for ...

Prior authorization is a process that involves contacting a person’s Medicare provider to request coverage for a medical service, drug, or piece of equipment. If a person has Original Medicare (parts ...

Please provide your email address to receive an email when new articles are posted on . PCSK9 inhibitors required more prior authorization requirements compared with other drugs for cardiometabolic ...

As was recently pointed out by Harvard Business Review, a new term is entering the healthcare lexicon: consumer. The article differentiated the terms "patient" and "consumer": "A patient is the term ...