Rep. Lois Frankel said she is pushing back against a movement to add prior-authorization requirements to Medicare and to use ...

Under new state regulations, doctors will no longer need to seek pre-approval from a patient’s health insurer before ...

Prior authorizations have long been hated by many, but insurers call them an essential tool they use to control spending.

Health plan executives expect AI to automate prior authorizations, improving turnaround times amid CMS regulatory changes, ...

Massachusetts insurance regulators unveiled sweeping prior authorization reforms that would scrap pre-approval requirements ...

Abridge is partnering with real-time health information network Availity to fire up AI-powered prior authorization, expanding ...

Health insurance companies are expected to hold to their promises in 2026 to “streamline, simplify and reduce” prior authorization, the process of approving medical care.

The model will leverage artificial intelligence (AI) to expedite prior authorization processes for certain items and services ...

Governor Healey initiates reforms to streamline Massachusetts' health care system, focusing on affordability and ...

While the AHA has called on CMS to rethink its plan to add prior authorization requirements to traditional Medicare, some argue that the program is due for some utilization management. CMS has sparked ...

Staff at Arkansas' Harmony Park Family Medicine have been excited about streamlining the prior authorization process with the goal of improving patient access to high-quality care. Prior authorization ...

The Wasteful and Inappropriate Service Reduction Model, or WISeR, is being tested in six states, including Oklahoma, starting ...