A six-state pilot program will target “wasteful care” under Medicare, Centers for Medicare & Medicaid Services says.

Health insurance companies are expected to hold to their promises in 2026 to “streamline, simplify and reduce” prior ...

In a recent survey, 84% of providers reported the number of medical services that require prior authorization has increased. And 62% of providers reported that they do not have the technology to ...

Prior authorization has been a continual source of frustration for providers, and Wednesday UnitedHealthcare, the country's largest insurer, said it will offer some relief. The payer giant will cut ...

Christopher Marks noticed an immediate improvement when his doctor prescribed him the Type 2 diabetes medication Mounjaro last year. The 40-year-old truck driver from Kansas City, Missouri, said his ...

UnitedHealth Group and Cigna are revamping their prior authorization processes as new federal regulations aiming to ease the burden on providers and patients loom. UnitedHealthcare will eliminate ...

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 ...

A new North Dakota law that took effect Jan. 1 requires health insurers to respond to prior authorization requests in a timely fashion. The changes follow reforms seen elsewhere in the country, and ...

The idea behind it seems reasonable: Insurers want to ensure treatments are medically necessary before they pay for them. But ...

TUCSON, Ariz. and TEL AVIV, Israel, Nov. 30, 2022 /PRNewswire/ -- Serenus.AI and HealthTrio are continuing an established partnership to launch an AI-based module to streamline and automate medical ...

Please provide your email address to receive an email when new articles are posted on . Our health care system is broken on multiple levels. As a medical community, we somehow seem to be hastening its ...