HHS has secured a pledge from insurers to streamline the companies’ practice of requiring prior authorizations before ...

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

The Centers for Medicare and Medicaid Services will be implementing prior authorization requirements for certain traditional ...

In a recent joint statement, HHS Secretary Robert F. Kennedy, Jr., and CMS Administrator Mehmet Oz, MD, announced health insurers have pledged to voluntarily streamline and reduce prior authorization ...

In 2026, the Centers for Medicaid and Medicare Services will implement a prior authorization for certain services covered ...

Gold Card’ programs were supposed to ease prior authorization burdens for doctors whose treatment recommendations are ...

A new CMS model will introduce new prior authorization requirements to traditional Medicare in six states, raising provider concerns about administrative burden.

Health insurers issue millions of denials every year, leaving many patients stuck in a convoluted appeals process, with ...

More than 40 payers have voluntarily signed onto to pact to transform prior authorization processes. Here is a breakdown of the six commitments at the core of the initiative.

The Centers for Medicare & Medicaid Services (CMS) rolled out an Innovation Center model Friday to test new prior ...

For many in long-term care, Monday’s announcement about voluntary prior authorization reforms reeks of unpleasant déjà vu. That’s because they’ve been denied before.

Sundar Subramanian, a partner at PricewaterhouseCoopers (PwC) consulting affiliate Strategy&, has joined population health ...