Here’s what to know about prior authorization, and what insurers have vowed to do. What is prior authorization? Prior ...

The model will leverage AI and machine learning for prior authorization of services vulnerable to fraud or inappropriate use, CMS says.

CMS has unveiled the Wasteful and Inappropriate Service Reduction model, a new Innovation Center initiative that will add prior authorization for some traditional fee-for-service Medicare services.

"Prior authorization is often denied because a provider has not provided all of the necessary information," Moran told ...

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

RFK Jr. said health insurance providers have committed to making the prior authorization process easier. The practice often ...

Health insurers covering more than 250 million Americans have unveiled a sweeping plan to streamline and reduce prior authorization requirements — a long-standing source of frustration and burnout for ...

The largest U.S. insurers agreed Monday to streamline their often cumbersome preapproval system. Here are five takeaways.

The Affordable Care Act survived yet another trip to the Supreme Court. The justices quibbled over just how powerful the ...

By 2027, the submission process will be standardized and most approvals will be made in real time — changes expected to ...

For many in long-term care, Monday’s announcement about voluntary prior authorization reforms reeks of unpleasant déjà vu.

Some fee-for-service spine procedures in traditional Medicare will have prior authorizations added, according to CMS’ new Wasteful and Inappropriate Service Reduction model. CMS is partnering with AI ...