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

The rule is expected to reduce staff workload, with fewer manual processes, and better visibility into coverage requirements and authorization status.

Ask a provider what’s causing tension in their relationship with insurers and many will point to prior authorization, arguing that the practice creates administrative burdens and delays in patient ...

Prior authorization has been around for a long time. Initially designed in the 1960s as a mechanism to control costs and ensure the appropriate use of medical resources, the goal has (in theory) been ...

Does Medicare require prior authorization? Medicare Advantage plans often require prior authorization. But these coverage reviews are rare for original Medicare. That distinction changes in 2026. Many ...

Powered Technology with R1 Experts to Set a New Standard for Clearance and Denial RatesCHICAGO, Jan. 15, 2026 (GLOBE NEWSWIRE) -- R1 (“R1” or the “Company”), the leader in healthcare revenue ...

2025 FEB 28 (NewsRx) -- By a News Reporter-Staff News Editor at Insurance Daily News-- Investigators publish new report on Managed Care. According to news reporting originating in Camden, New Jersey, ...

Providers are betting on artificial intelligence to ease the pain point of prior authorization, a new survey shows. Cohere Health, which provides clinical intelligence to insurers and risk-bearing ...

The health IT arm of the Department of Health and Human Services finalized a rule this week that federal leaders say will remove red tape and enable faster prior authorization and real-time ...

Forbes contributors publish independent expert analyses and insights. Jesse Pines is an expert in healthcare innovation and wellness. Health insurer prior authorization has increased considerably in ...

Please provide your email address to receive an email when new articles are posted on . Patients who required prior authorization had increased costs in the year prior to TKA. Prior authorization was ...

Company commits to distinctive actions that will make it easier to navigate the health care system, access care, and achieve better health Aetna already has one of the shortest lists of treatments and ...