Medicare is launching a new pilot program that will require prior approval for 17 health services using artificial ...

Traditional Medicare in six states will soon feel more like privatized Medicare Advantage, using prior authorizations to ...

Forbes contributors publish independent expert analyses and insights. Diane Omdahl is a Medicare expert who keeps her readers in the know. Over the last several years, prior authorization has become a ...

Major health insurance providers have agreed to reduce the need for prior authorization — the requirement that patients must get approval from insurers before receiving certain treatments or risk ...

More than 50 major insurers have pledged to streamline prior authorization starting in 2026, but providers remain cautiously optimistic and skeptical that the changes will truly reduce burden or ...

Highmark Health is partnering with Abridge in deploying ambient clinical documentation and real-time prior authorization across the integrated health system. Highmark Health, based in Pittsburgh, ...

If you’ve ever been a patient waiting—days, sometimes more than a week—for treatment approval, or a clinician stuck chasing it, you know what prior authorization feels like. Patients sit in limbo, ...

BRIDGEPORT, W.Va. — By the time Eric Tennant was diagnosed in 2023 with a rare cancer of the bile ducts, the disease had spread to his bones. He weighed 97 pounds and wasn’t expected to survive a year ...

A patient with asthma is denied coverage for four different inhalers, being told each time to request one of the other three instead. An insurer insists acid reflux medication will be approved only as ...