Administrative costs are estimated to make up between 20 and 34 percent of US health care expenditures, roughly 1–4 percent of GDP. Academic and policy discussions generally characterize these costs ...

Natalie Tate, PharmD, is vice president of pharmacy at BlueCross BlueShield of Tennessee. Nationwide, prescription drugs are the costliest and commonly used heath plan benefit. Last year, BlueCross ...

Optum Rx has announced it will drop prior authorization for an estimated 80 drugs starting May 1. The program targets reauthorizations of drugs. For instance, once a genetic condition such as cystic ...

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Credit: Getty Images. Prior authorization requirements for oral cancer drugs on Medicare part D formularies have increased in recent years, research suggests. Prior authorization requirements for oral ...

Forbes contributors publish independent expert analyses and insights. Jesse Pines is an expert in healthcare innovation and wellness. Health insurer prior authorization has increased considerably in ...

Insurers designate certain prescription drugs with prior authorization to ensure safe and medically appropriate use but also to contain costs. Here, a healthcare provider must obtain approval from a ...

Optum Rx — which includes the pharmacy benefit manager of health care conglomerate UnitedHealth Group — is dropping annual reauthorization requirements for 80 drugs, which will eliminate more than 10% ...

Optum Rx is moving to eliminate prior authorizations on dozens of drugs, the UnitedHealth-owned pharmacy benefit manager said Wednesday, paring back a key pain point for physicians and patients at a ...

Please provide your email address to receive an email when new articles are posted on . After a new prior authorization policy, fills of a 30-day prescription did not occur until day 49.2. Overall, ...

The world of prior authorization, and the hoops we need to jump through, has gotten just more and more ridiculous, bordering on the absurd, and I'm worried that things are about to get much worse.

Optum Rx, the pharmacy benefit manager under UnitedHealth Group, is set to eliminate prior authorization requirements for approximately 80 prescription drugs in an effort to simplify access to ...