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

Beginning Jan. 1, 2026, 17 medical procedures will require prior authorization for patients under the traditional Medicare ...

The healthcare industry is on the brink of a transformative shift in the way prior authorizations are managed. Traditionally, prior authorizations have relied heavily on an attestation model, where ...

Several health insurers are extending prior authorizations for elective services that have been canceled or deferred because of COVID-19. Blue Cross and Blue Shield of Minnesota shared with Becker’s ...

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

BOSTON— Massachusetts health insurers will be required to streamline, and in some cases scrap altogether, pre-approval for many routine medical procedures and medications under proposed new state ...

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.

Many health systems and patients have struggled with prior authorization procedures. Prior authorization practices are staying in the spotlight. Health systems are looking for payers to do more to ...

UnitedHealth has rescinded a plan to require prior authorization for colonoscopies and other endoscopic procedures, following backlash from physician groups. UnitedHealth, which operates the biggest ...

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ASC leaders say prior authorization has become the most damaging pain point in payer relationships, delaying care even after clinical decisions are made and surgeries are scheduled. Four ASC leaders ...

GI docs say the payer is using AI to move large volumes of services through prior authorization. Effective June 1, UnitedHealthcare will require prior authorization for nearly half (47%) of ...