Prior authorization has become one of the clearest points where administrative complexity directly affects patient care. For ...

Drugs were left out of a 2024 rule streamlining prior authorizations, including by making decisions electronic and requiring ...

The approach will be used for medical services that are commonly subject to prior authorization, such as orthopedic surgeries ...

Roughly 50 insurers signed an AHIP (formerly America’s Health Insurance Plans) and Blue Cross Blue Shield Association commitment to standardize electronic prior authorization across most medical ...

UnitedHealthcare, CVS Health, Humana, and other major insurers are standardizing prior authorization data requirements for common medical services to reduce delays and paperwork. The initiative spans ...

A new proposed rule from the Centers for Medicare and Medicaid Services would reduce the required response time to Medicare ...

Major U.S. insurers, including UnitedHealthcare, CVS Health/Aetna, and Humana, are rolling out standardized requirements for electronic prior authorizations across commercial, Medicare, and Medicaid ...

Prior authorization is a complex, expensive and burdensome process with clinical and financial impacts across the spectrum of care. Built on processes that are mostly manual, even partial automation ...

Wash., found procedures in the state that were previously approved within around two weeks now take four to eight weeks to be ...

On April 14, 2026, the Centers for Medicare and Medicaid Services (“CMS”) published a proposed rule that would require faster ...

For decades, Americans have endured a healthcare system where access to care is delayed not by clinical need, but by administrative demands with little benefit. Prior authorization, the process ...

Add Yahoo as a preferred source to see more of our stories on Google. State-specific policies that tie cost increases to economic indicators rather than the cost of care threaten to put further ...