News

Fierce Healthcare1h
New CMMI model injects 'enhanced technologies' in Medicare prior authorization to limit fraud
The Centers for Medicare & Medicaid Services (CMS) rolled out an Innovation Center model Friday to test new prior ...
Becker's ASC35m
What’s going on with prior authorization?
Across the healthcare landscape, prior authorization is undergoing significant changes aimed at reducing administrative burden and expediting care delivery. Here are three major updates to know: 1.
Health Insurers Vow—Again—to Fix Prior Authorization Process
Here’s what to know about prior authorization, and what insurers have vowed to do. What is prior authorization? Prior ...
Becker's Hospital Review6h
CMS to add prior authorization for traditional Medicare services
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 ...
After years of complaints, health insurers vow to fix prior authorization delays
"Prior authorization is often denied because a provider has not provided all of the necessary information," Moran told ...
Kennedy says health insurers promise to change prior authorization process
RFK Jr. said health insurance providers have committed to making the prior authorization process easier. The practice often ...
5 takeaways from health insurers’ new pledge to improve prior authorization
The largest U.S. insurers agreed Monday to streamline their often cumbersome preapproval system. Here are five takeaways.
STAT5h
The future of free preventive care, and prior authorization in Medicare
The Affordable Care Act survived yet another trip to the Supreme Court. The justices quibbled over just how powerful the ...
Insurance companies announce changes to prior authorization process
Insurance companies require doctors to get approval before providing some care to patients, a process known as prior ...
PhillyVoice7d
Health insurers commit to making prior authorizations easier and less common
By 2027, the submission process will be standardized and most approvals will be made in real time — changes expected to ...
Health insurers move to streamline prior authorization process, promising quicker care
Some of the nation's health insurers say they're taking steps to speed the process by which doctors approve medical care.
USA Today7d
Health insurance companies vow changes to prior authorization - USA TODAY
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.