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Insurers Promise to Speed Up Delays in Health Care Approvals

Physician's Weekly

By 2027, at least 80% of electronic prior authorization requests will be answered in real time, and the process will be easier to do online. An industry group called AHIP (formerly known as America’s Health Insurance Plans) said the updates could help as many as 257 million people. But experts say the changes may not go far enough.

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When Worlds Collide: The Theory of Real-World Evidence Meets Reality

FDA Law Blog

RWD can be collected from a wide range of sources, such as electronic health records, registries, administrative claims, pharmacy data, and feedback from wearables and mobile technology. RWE is “the clinical evidence regarding the usage, and potential benefits or risks, of a medical product derived from analysis of RWD.”

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RWE There Yet? FDA’s New Pilot Program Seeks to Help Usher in a New Era for Real World Evidence

FDA Law Blog

These data are routinely collected from a variety of sources, such as electronic health records, providing information on health and healthcare in actual patients, rather than in the controlled environment of a clinical trial. There will be two submission deadlines per year on March 31 and September 30, through March 31, 2027.

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5 Takeaways From Health Insurers’ New Pledge To Improve Prior Authorization

Physician's Weekly

They will require insurers to respond to requests within seven days or 72 hours, depending on their urgency, and to process prior authorization requests electronically, instead of by phone or fax, among other changes. “This is an opportunity for the industry to show itself.” ” Here are the key takeaways for consumers: 1.