HHS and Private Health Insurers Team Up to Improve PAs

Federal and commercial stakeholders have pledged to streamline the often burdensome prior authorization process ...

AUGUST 20, 2025

Access to Oncology Drugs Stymied by Prior Authorization, but Specialty Pharmacists Can Help

A centralized, pharmacy-led PA process significantly reduced those delays and their attendant burdens on patients ...

AUGUST 4, 2025

AI May Not Be So Smart When Payors Use It To Deny Medical Claims

Concerns are growing about the increasing use of artificial intelligence to review—and in many cases ...

MAY 2, 2024

Policy Experts Call for Universal ePAs

Two health policy experts are calling for a universal electronic prior authorization system that works for all ...

NOVEMBER 11, 2023

A Framework for Universal ePA, but How to Get There?

Virtually all of the 300 oncologists who responded (96%) to a November 2022 member survey conducted by the American ...

APRIL 14, 2023

A Virtual Solution for Taming Prior Authorizations

A novel virtual networking and education initiative established by Shields Health Solutions at its more than 20 ...

AUGUST 19, 2022

‘Devastating’ Delays Persist From Prior Authorizations

The growing number of high-priced specialty medications is driving insurance companies and pharmacy benefit ...

NOVEMBER 8, 2018

Reimbursement Errors Cause Big Losses From Chemotherapy

Health systems need to heed a wide range of reimbursement problems that can trigger negative payments for high-cost ...

SEPTEMBER 14, 2018