Legislation in 13 states would create “gold carding” programs to exempt some doctors and hospitals from insurers’ prior authorization programs. Five states have already done it.

The link to the standard health benefits prior authorization form is available here and the rule is available here. Reporter, Kathy Poppitt , Austin, +1 512 457 2004, [email protected] . Send ...

4. However, 76 percent of providers use more than one means to file prior authorization requests, and only a few rely solely on electronic prior authorization solutions. More articles on payer issues: ...

Prior to the index date, the new prior authorization group filled a 30-day prescription at 38.1 days, about 8 days late. The control group had a similar number of days to next fill (38.4).

For example, in 2020, just 16.7% of generic-available drugs with a price of $100 or less were excluded from formularies or subject to prior auth or step therapy.