While the cost of health care remains the dominant worry among Americans, the process of obtaining prior authorization from ...
The federal government has begun using artificial intelligence to review whether certain treatments are necessary for ...
The new KFF report found that payers either fully or partially denied 4.1 million prior authorization requests in 2024, or ...
The Centers for Medicare and Medicaid Services (CMS) has implemented prior authorization requirements for certain traditional ...
Acquisition strengthens Onyx’s ability to help health plans modernize ePA, scale to meet CMS deadlines, and maximize ...
The paperwork burden of prior authorization keeps climbing, and for some ASCs, the only way through is to treat it like a daily fight. Elisa Auguste, administrator at East Setauket, N.Y.-based ...
The requirements will make exchanging health data more efficient and reduce administrative burden. Today CMS finalized the Interoperability and Prior Authorization Final Rule, continuing its efforts ...
CVS Health cuts prior authorizations, speeding approvals and expanding biosimilar use to reduce costs and improve patient access.
A new survey of physicians finds they are still facing burdens meeting prior authorization requirements despite a voluntary 2018 agreement among payer groups to reform the practice. The survey was ...
Does Medicare require prior authorization? Medicare Advantage plans often require prior authorization. But these coverage reviews are rare for original Medicare. That distinction changes in 2026. Many ...
CVS Health (CVS) on Thursday announced that it plans to make a large portion of its prior authorization procedures consistent ...
On January 14, 2026, Massachusetts Governor Maura Healey announced that the Division of Insurance (DOI) will be promulgating ...
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