Prior authorization creates a bottleneck. A physician prescribes a patient a medication, the patient goes to the pharmacy to pick it up, only to be denied. The pharmacist calls the physician's office, ...

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SAN FRANCISCO, Nov. 20, 2025 /PRNewswire/ -- SamaCare, the leading prior authorization platform for specialty practices, today announced the launch of SamaCare Plus, a next-generation AI offering that ...

Prior authorizations, one of health insurers’ many “utilization management” techniques, is a hot topic amongst practicing physicians, patients, and regulators, to name a few. The prior-authorization ...

PCSK9 inhibitors required more prior authorization requirements compared with other drugs for cardiometabolic disease, according to an analysis published in Circulation: Cardiovascular Quality and ...

In healthcare, insurance companies use prior authorization (PA) to determine whether a prescribed treatment, medication, or procedure is medically necessary before they approve coverage. Although ...

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 ...

UnitedHealthcare, an insurer of 45 million patients worldwide, has announced changes to its prior authorization requirements for gastroenterology care, set to take effect June 1. New requirements will ...

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UnitedHealthcare plans to cut back on its use of prior authorization, removing procedures and medical devices from its list of services requiring signoff and reducing the number of authorizations from ...