CMS has unveiled the Wasteful and Inappropriate Service Reduction model, a new Innovation Center initiative aimed at reducing unnecessary services in traditional Medicare and streamlining the prior ...

Here’s what to know about prior authorization, and what insurers have vowed to do. What is prior authorization? Prior ...

"Prior authorization is often denied because a provider has not provided all of the necessary information," Moran told ...

RFK Jr. said health insurance providers have committed to making the prior authorization process easier. The practice often ...

The Affordable Care Act survived yet another trip to the Supreme Court. The justices quibbled over just how powerful the ...

Insurance companies require doctors to get approval before providing some care to patients, a process known as prior ...

The largest U.S. insurers agreed Monday to streamline their often cumbersome preapproval system. Here are five takeaways.

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

By 2027, the submission process will be standardized and most approvals will be made in real time — changes expected to ...

Some of the nation's health insurers say they're taking steps to speed the process by which doctors approve medical care.

Major American insurers announced Monday that they have agreed to speed up and smooth out the processes involved with the ...

Under prior authorization, doctors or hospitals must ask a patient's health insurance company before care such as an operation or prescribing certain prescription drugs.