The Centers for Medicare and Medicaid Services (CMS) will implement prior authorization requirements for certain traditional ...

From the relentless rise of claim denials to major policy debates around prior authorization and the 340B program, the first ...

A bill intent on reforming the pre-authorization process in Delaware passed both chambers and is now under consideration from Gov. Meyer.

A new CMS model will introduce new prior authorization requirements to traditional Medicare in six states, raising provider concerns about administrative burden.

Gold Card’ programs were supposed to ease prior authorization burdens for doctors whose treatment recommendations are ...

In 2026, the Centers for Medicaid and Medicare Services will implement a prior authorization for certain services covered ...

The Trump Administration is bringing prior authorizations (PAs), the mandatory preapproval before insurance covers health ...

In a recent joint statement, HHS Secretary Robert F. Kennedy, Jr., and CMS Administrator Mehmet Oz, MD, announced health ...

Skeptics note that efforts to streamline the much-despised prior authorization system have failed twice before.

I was notified in the middle of a breast reconstruction surgery that an insurance company wanted to talk to me about whether ...

Hari Prasad, CEO of Yosi Health, said in an interview with MHE that AI can reduce administrative delays in prior ...