California is one of 31 states that passed laws in 2025 limiting insurance companies’ use of prior authorization to approve ...

SamaCare, the leading prior authorization platform for medical benefit drugs, today announced that more than $6.2 billion in specialty medication prior authorizations (PAs) were processed through its ...

Prior authorization (PA) is a widely used insurance mechanism intended to ensure cost-effective, evidence-based care. However, in practice, it often imposes significant administrative and clinical ...

New partnership pilots Ethermed’s AI-driven prior authorization automation inside Tanner Health’s Epic environment.

Young adults with IBD are more likely to face step therapy mandates, making clinicians concerned that insurers are ignoring evidence-based guidelines and imperiling outcomes.

After starting his career as a pharmacist, Brian Laird decided to focus on the business-side of healthcare. He recently joined EVERSANA as its president of Patient Services, where uses his experience ...

Biomarker tests analyze a patient's underlying biology to help clinicians diagnose disease, monitor progression and identify ...

North American Niobium also announces that Kelvin Lee has resigned as Chief Financial Officer, Corporate Secretary and Director, and the Company thanks Mr. Lee for his contributions and service, with ...

Medications such as Wegovy and Zepbound will no longer be covered for weight loss, although GLP-1 drugs for diabetes will still be approved.

A measure that would create a new five-year state permit for visiting international teachers has drawn strong support from ...