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

The Centers for Medicare and Medicaid Services will be implementing prior authorization requirements for certain traditional ...

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

HHS has secured a pledge from insurers to streamline the companies’ practice of requiring prior authorizations before ...

UnitedHealthcare, Blue Cross Blue Shield and other health insurers plan fixes to prioer authorization, a common source of consumer complaints.

The reintroduction of the "Improving Seniors' Timely Access to Care Act" marks a critical step toward modernizing the prior authorization process within Medicare Advantage plans. So, what does ...

The Centers for Medicare & Medicaid Services released the final 2024 MA and Part D rule that introduces key policy changes. In addition to prior authorization, the rule includes changes for star ...

Providers want more from CMS on prior authorization reform after proposed changes By Robert King Feb 14, 2023 7:15am ...

Health insurers issue millions of denials every year, leaving many patients stuck in a convoluted appeals process, with ...

Major insurers say they’ll ease up on the prior-authorization practice that can delay necessary care for patients.

CMS on Dec. 10 unveiled its plan to require payers—including Medicaid, ... interfaces to support data exchange and prior authorization. It said the changes would allow providers to know in ...