The proposed rule aims to improve prior authorization for prescription drugs by establishing and requiring electronic prior ...

Prior authorization requirements cost the U.S. healthcare system an estimated $35 billion each year, and their overuse has triggered a backlash, stirring some policymakers into action. Whether these ...

The system is broken — and it must be fixed now.

The planned cuts come as payers face ongoing pressure to reduce prior authorization use. For example, a recent initiative led ...

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 ...

Editor’s Note: This story was published last year, before the murder of UnitedHealthcare’s chief executive, which is drawing renewed attention to how the insurance industry denies care to patients.

Only one-third say that insurer efforts will make a real difference ...