4 results for "prior authorization"
Article
Prior Authorization: Why the Pharmacy Turned You Away
Prescriptions & PharmacyWhat prior authorization and step therapy are, how long insurers have to decide, how to request an expedited review, and how to win an appeal.
Article
Medicare Advantage vs Original Medicare
Medicare & MedicaidThe real trade-offs between Advantage and Original Medicare: networks, prior authorization, extras, out-of-pocket maximums and the switching problem.
Guide
Prescription Drugs: How to Stop Overpaying at the Counter
Prescriptions & PharmacyGenerics, discount cards, the $35 insulin cap, prior authorization and 90-day refills — the practical ways to lower what you pay for medication.
News
Insurers promised to fix prior authorization a year ago. Some now say they won't do all of it
ER & Urgent CareThe six-part pledge had January 1, 2026 deadlines: fewer services requiring approval, honoring existing approvals for 90 days after a plan switch, and clearer denial explanations. A year on, some insurers are hedging — but a separate CMS rule on AI denials did take effect.