Prior authorization refers to when medical providers have to get approval from insurers before performing a service. Patients ...

The largest U.S. insurers agreed Monday to streamline their often cumbersome preapproval system. Here are five takeaways.

The Centers for Medicare & Medicaid Services June 27 announced the rollout of a 6-year technology-enabled prior authorization ...

Millions of Americans will benefit from the Trump administration’s plans for prior authorization reform, according to Centers for Medicare & Medicaid Services Administrator Dr. Mehmet Oz.

CMS is adding prior authorization requirements for certain fee-for-service procedures under traditional Medicare as part of its new Wasteful and Inappropriate Service Reduction model. A total of 17 ...

Across the healthcare landscape, prior authorization is undergoing significant changes aimed at reducing administrative burden and expediting care delivery. Here are three major updates to know: 1.

In total, 53 insurers pledged to simplify prior authorization, including UnitedHealthcare, Aetna, Cigna, several Blues plans and numerous regional insurers. The payers offer commercial coverage ...

In this week’s edition of InnovationRx, we look at health insurers' vows to improve prior authorization, Bell Labs’ IP commercialization, a new healthcare billionaire, a robot performing ...

For many in long-term care, Monday’s announcement about voluntary prior authorization reforms reeks of unpleasant déjà vu. That’s because they’ve been denied before.

About 50 insurers have signed on to the pledge including all six of the largest, publicly traded health plans: Elevance Health, Centene, Cigna, CVS Health's Aetna, Humana and UnitedHealthcare. A ...