A bill intent on reforming the pre-authorization process in Delaware passed both chambers and is now under consideration from Gov. Meyer.

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

From the relentless rise of claim denials to major policy debates around prior authorization and the 340B program, the first ...

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

I was notified in the middle of a breast reconstruction surgery that an insurance company wanted to talk to me about whether ...

Gold Card’ programs were supposed to ease prior authorization burdens for doctors whose treatment recommendations are ...

Skeptics note that efforts to streamline the much-despised prior authorization system have failed twice before.

Dr. Matt Crowson, the genAI expert at Wolters Kluwer Health, dives into the company's new survey of caregivers and execs on ...

The Trump Administration is bringing prior authorizations (PAs), the mandatory preapproval before insurance covers health ...

In a recent joint statement, HHS Secretary Robert F. Kennedy, Jr., and CMS Administrator Mehmet Oz, MD, announced health ...

CMS will implement prior authorization requirements for certain traditional fee-for-service Medicare services in six states starting next year. New Jersey, Ohio, Oklahoma, Texas, Arizona, and ...