CVS Health (CVS) on Thursday announced that it plans to make a large portion of its prior authorization procedures consistent ...

Under new state regulations, doctors will no longer need to seek pre-approval from a patient’s health insurer before ...

GoodRx reports five major changes to Medicare in 2026, including a $2,100 Part D out-of-pocket limit, prior authorization for some services, and auto-renewal for payment plans.

The House Banking and Insurance Committee advanced a bill on Wednesday, Jan. 14 that would allow certain health care ...

"Medically necessary" is often a four-letter word for patients.

Massachusetts regulators would eliminate many prior authorization rules, speed urgent approvals and form a working group to ...

Prior authorizations have long been hated by many, but insurers call them an essential tool they use to control spending.

Health plan executives expect AI to automate prior authorizations, improving turnaround times amid CMS regulatory changes, Deloitte finds.

Powered by Phare Access – the smart patient access hub of R1’s Phare Operating System – R1 Prior Authorization manages the ...

Prior authorization has been a continual source of frustration for providers, and Wednesday UnitedHealthcare, the country's largest insurer, said it will offer some relief. The payer giant will cut ...

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 ...

Insurers have been canceling Medicare Advantage programs for years. Fresno Unified isn't alone in the fight between payers ...