The Centers for Medicare and Medicaid Services (CMS) recently announced the launch of a program that will require individuals ...

To control costs, nearly all health insurers use a system called prior authorization, which requires patients or their ...

The Centers for Medicare and Medicaid Services (CMS) will implement prior authorization requirements for certain traditional fee-for-service Medicare services in six states starting next year.

Prior authorizations were designed as a way for health care providers to ensure insurance coverage and payment for various products or services.

Hospitals around the country have been dropping Medicare Advantage plans due to issues with prior authorizations and denials.

Care delayed is care denied. While prior authorizations are essential for effective utilization management (UM), they have become excessively burdensome for payers and providers alike, causing ...

Medicare Advantage prior authorizations can delay healthcare for seniors. A bipartisan group of lawmakers is trying to streamline care.

In 2026, the Centers for Medicaid and Medicare Services will implement a prior authorization for certain services covered under Medicaid in Oklahoma, Ohio, Texas, Arizona, New Jersey, and ...

While much national attention has focused on healthcare price transparency, careviso's audit reveals that administrative processes like prior authorization are equally deserving of reform.