American Enterprise Institute

Prior Authorization Reduces Net Costs of Medicare Part D

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 ...
Drug Store News

Amber Pharmacy adopts Armada's prior authorization system

FLORHAM PARK, N.J. — Specialty pharmacy company Amber Pharmacy has implemented a prior authorization system provided by Armada Health Care, Amber said. Amber announced that it had incorporated ...
California Healthline

Prior Authorization Requirements of Medicare Drug Benefit Examined

The New York Times on Tuesday examined how some physicians and pharmacists maintain that many medications covered by Medicare prescription drug plans are "not readily available" to beneficiaries ...
The American Journal of Managed Care

Rethinking Prior Authorization: Bridging Clinical Needs and Administrative Burdens

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 ...

CT’s new Medicaid prior authorization rule has advocates worried

New Medicaid prior-authorization rules have advocates in Connecticut concerned about patients losing access to their ...
The American Journal of Managed Care

Study Finds Prior Authorization Mandates for PCSK9 Drugs Raise Questions of Access

Researchers were especially concerned about barriers for patients with familial hypercholesterolemia, whose needs would seem clear cut but who nonetheless faced costly hurdles, such as genetic testing ...
TCTMD

Maze of Prior Authorization for PCSK9 Inhibitors Poses Challenge to Prescribers

Prior authorization requirements for PCSK9 inhibitor prescriptions are more cumbersome than those in place for other cardiometabolic drugs, a new study demonstrates. The complex processes are seen for ...
MarketWatch

Agadia Expands Market Reach with a New Electronic Prior Authorization Portal for Specialty Drugs

Empowering Specialty Pharmacies, Hub Service Companies, and Drug Manufacturers to Expedite Patient Access PARSIPPANY, N.J., Feb. 19, 2025 /PRNewswire/ -- Agadia, a leader in Utilization Management ...
Healio

Prior authorization requirements substantial for PCSK9 inhibitors

Please provide your email address to receive an email when new articles are posted on . PCSK9 inhibitors required more prior authorization requirements compared with other drugs for cardiometabolic ...
Morningstar

SamaCare Celebrates One Million Medical Benefit Drug Prior Authorizations, Made Fast, Easy, and Accurate with AI

SAN FRANCISCO, June 12, 2025 /PRNewswire/ -- SamaCare, a cloud-based patient access platform for specialty medications, today announced that it has passed the 1MM milestone in prior authorizations ...
The Baltimore Sun

Prior authorization requirements harm patients and physicians; FTC must look into drug delaying practice | GUEST COMMENTARY

In June, the Federal Trade Commission (FTC) announced they will be launching an inquiry into the practices of the “prescription drug middleman” industry. These middlemen, known as Pharmacy Benefit ...