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Prior Authorization Basic Listing

News
Optum Rx Eases Access by Dropping Reauthorization for Key Drugs
07/03/2025
Grace Taylor, MS, MA
Optum Rx has eliminated reauthorization requirements for over 140 medications, aiming to reduce care delays and improve access for patients with chronic conditions.
Optum Rx has eliminated reauthorization requirements for over 140 medications, aiming to reduce care delays and improve access for patients with chronic conditions.
Optum Rx has eliminated...
07/03/2025
First Report Managed Care
News
HHS, CMS, and Major Insurers Unite to Announce Voluntary Prior Authorization Reform Pledge
06/23/2025
Hannah Musick
At a landmark press conference, the US Department of Health and Human Services announced that top health officials and major insurers—representing 75% of insured Americans—have signed a voluntary pledge to overhaul the prior authorization...
At a landmark press conference, the US Department of Health and Human Services announced that top health officials and major insurers—representing 75% of insured Americans—have signed a voluntary pledge to overhaul the prior authorization...
At a landmark press conference,...
06/23/2025
First Report Managed Care
News
CVS Health’s Aetna and Blue Cross Blue Shield Among Insurers Pledging to Reform Criticized Prior Authorization Process
06/23/2025
Hannah Musick
Major insurers have pledged to streamline the prior authorization process by 2027, aiming to reduce care delays and administrative burdens while facing ongoing scrutiny from clinicians and patients.
Major insurers have pledged to streamline the prior authorization process by 2027, aiming to reduce care delays and administrative burdens while facing ongoing scrutiny from clinicians and patients.
Major insurers have pledged to...
06/23/2025
First Report Managed Care
Videos
Evolving Strategies in RA Treatment: Real-World Insights and Access Challenges
06/09/2025
Jonathan Kay, MD; Julie Baak; Juliet Gallagher
This expert roundtable, hosted by First Report Managed Care, explores the evolving rheumatoid arthritis (RA) treatment landscape, highlighting advancements in therapeutic options, challenges with payer-driven access and reimbursement, and the...
This expert roundtable, hosted by First Report Managed Care, explores the evolving rheumatoid arthritis (RA) treatment landscape, highlighting advancements in therapeutic options, challenges with payer-driven access and reimbursement, and the...
This expert roundtable, hosted...
06/09/2025
First Report Managed Care
News
North Dakota Enacts Prior Authorization Law to Curb Health Coverage Delays
04/28/2025
Grace Taylor, MS, MA
North Dakota has enacted a new law to streamline the prior authorization process and prevent delays in patient care.
North Dakota has enacted a new law to streamline the prior authorization process and prevent delays in patient care.
North Dakota has enacted a new...
04/28/2025
First Report Managed Care
Feature Story
Prior Authorization in 2025: Key Trends Shaping the Future of Health Care
11/27/2024
Brian Covino, MD
In 2025, prior authorization undergoes a transformative evolution driven by regulatory changes, artificial intelligence enhancements, proactive utilization forecasting, and the integration of clinical nudges, all aimed at improving care...
In 2025, prior authorization undergoes a transformative evolution driven by regulatory changes, artificial intelligence enhancements, proactive utilization forecasting, and the integration of clinical nudges, all aimed at improving care...
In 2025, prior authorization...
11/27/2024
First Report Managed Care
Videos
Bridging the Gaps in Prior Authorization: Challenges, Solutions, and Collaboration for Better Patient Care
11/13/2024
David J. Sand, MD, MBA
David Sand, MD, MBA, chief medical officer at ZeOmega, discusses the challenges of prior authorization, emphasizing the need for transparency, evidence-based standards, collaboration between payers and providers, and the potential for...
David Sand, MD, MBA, chief medical officer at ZeOmega, discusses the challenges of prior authorization, emphasizing the need for transparency, evidence-based standards, collaboration between payers and providers, and the potential for...
David Sand, MD, MBA, chief...
11/13/2024
First Report Managed Care
Commentary
Enhancing Provider Experience Through Electronic Prior Authorization
08/13/2024
Each year the American Medical Association (AMA) surveys its membership to ascertain their feedback concerning prior authorizations (PAs) and the impact of this service on their practice. Reliably, AMA members say that PAs are disruptive to...
Each year the American Medical Association (AMA) surveys its membership to ascertain their feedback concerning prior authorizations (PAs) and the impact of this service on their practice. Reliably, AMA members say that PAs are disruptive to...
Each year the American Medical...
08/13/2024
First Report Managed Care
Commentary
Payer-Provider Synergy: Aligning at the Fulcrum Points
08/05/2024
Payer-provider collaboration represents a crucial opportunity to bridge the gap between those who provide care and those who finance it. In this commentary, experts delve into strategies to help foster a collaborative relationship between...
Payer-provider collaboration represents a crucial opportunity to bridge the gap between those who provide care and those who finance it. In this commentary, experts delve into strategies to help foster a collaborative relationship between...
Payer-provider collaboration...
08/05/2024
First Report Managed Care
News
Increased Scrutiny of Prior Authorization: Are Payers Fully to Blame, and Can AI Improve the Process?
04/05/2024
Dean Celia
The increased scrutiny of prior authorization, highlighted by media reports and government actions, prompts debate over payer responsibility while exploring the potential for AI to enhance the process.
The increased scrutiny of prior authorization, highlighted by media reports and government actions, prompts debate over payer responsibility while exploring the potential for AI to enhance the process.
The increased scrutiny of prior...
04/05/2024
First Report Managed Care
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