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

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 ...

The Department of Homeland Security has issued an update to industry partners clarifying the current status of its Small ...

Payers have new deadlines to issue prior authorization decisions — 72 hours for urgent requests and seven days for non-urgent ones. Prior authorization is a process wherein a doctor must get approval ...

Forbes contributors publish independent expert analyses and insights. Jesse Pines is an expert in healthcare innovation and wellness. Health insurer prior authorization has increased considerably in ...

When Paula Chestnut needed hip replacement surgery last year, a pre-operative X-ray found irregularities in her chest. As a smoker for 40 years, Chestnut was at high risk for lung cancer. A specialist ...

Health insurers are beginning to adopt AI to support prior authorization decisions. But is this a good thing? Experts weighed in during a panel discussion held by KFF on Thursday. One panelist said ...

The start of the legislative session is just around the corner. Beginning in December, the Missouri Senate allows senators to ...

Lucas Downey is the co-founder of MoneyFlows, and an Investopedia Academy instructor. David is comprehensively experienced in many facets of financial and legal research and publishing. As an ...