The announcement on prior authorization comes months after the killing of UnitedHealthcare executive Brian Thompson, which ...

In this week’s edition of InnovationRx, we look at health insurers' vows to improve prior authorization, Bell Labs’ IP ...

CMS has unveiled the Wasteful and Inappropriate Service Reduction model, a new Innovation Center initiative that will add prior authorization for some traditional fee-for-service Medicare services.

The Centers for Medicare & Medicaid Services June 27 announced the rollout of a 6-year technology-enabled prior authorization ...

UnitedHealthcare, Cigna, and other insurers are to speed up prior authorizations, aiming for faster care access.

Dozens of US health plans, including Medicare Advantage plans, have pledged to reduce their use of prior authorizations, federal officials and the nation’s largest health plan trade association ...

Insurers say the changes will improve access and reduce delays in treatment, but critics warn this is a voluntary pledge, not ...

Some fee-for-service spine procedures in traditional Medicare will have prior authorizations added, according to CMS’ new Wasteful and Inappropriate Service Reduction model. CMS is partnering with AI ...

Prior authorizations are increasingly straining the healthcare industry, according to a survey of 1,000 practicing physicians in the U.S.. The American Medical Association conducted the survey ...

New data from just under one million lab-based cases reveals systemic inefficiencies and rising denial rates, underscoring the urgent need for scalable, provider-focused solutions VIENNA, Va ...

Health and Human Services Secretary Robert F. Kennedy, Jr. and Centers for Medicare& Medicaid Services Administrator Dr. Mehmet Oz today met with industry leaders to discuss their pledge, to ...