Recently, we put together a template to help medical professionals explain a confusing process. Readers gave us very pointed ...
Surescripts®, the nation's leading health intelligence network, today announced a major expansion of its Touchless Prior ...
GoodRx reports that starting January 2026, original Medicare will require prior authorization for certain services in six ...
AHA pushes CMS delay on Medicare prior authorization pilot set for Jan. 1, 2026, urging changes to reduce provider burden and improve oversight.
“Cancer patients and their families are being pulled into the insurance prior authorization process, at the expense of their ...
Prior authorizations are required by insurance companies for some medications. This includes those that may have less expensive alternatives. The prior authorization process can take anywhere from a ...
Several studies highlighted at a recent meeting document the growing toll prior authorization takes on patients and ...
Gov. Jared Polis ordered the Colorado Department of Health Care Policy and Financing to reinstate prior authorization for ...
Prior authorization is placing a growing burden on radiation oncologists, leading to treatment delays and suboptimal treatment, and compromising patient safety, according to a survey presented at the ...
Cohere Health®, the leader in clinical intelligence solutions for health plans, will bring together its prior authorization ...
In 2026, the Centers for Medicare and Medicaid Services (CMS) will expand prior authorization in the fee-for-service program through the Wasteful and Inappropriate Service Reduction (WISeR) Model.
AI-driven prior authorizations (PAs) are trusted by many clinicians, promising to streamline processes and reduce administrative burdens. Concerns exist about AI increasing denial rates and lacking ...