prior authorization

Doctors, patients and hospitals have railed for years about processes that insurers use to decide whether they’ll pay for drugs or procedures. The Biden administration announced a crackdown in January, but some state lawmakers are looking to go further.

Doctors would have greater leeway in prescribing medications to patients - and insurance companies would have less time to approve prior-authorization...

Mari Velar, who has lupus and osteoporosis, has bones as fragile as butterfly wings. To keep them from breaking, she depends on an IV drip of a…

Many health insurers now require that patients undergo a "fail-first" trial of cheaper drugs before using the expensive ones, which sounds reasonable…