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

CMS has unveiled the Wasteful and Inappropriate Service Reduction model, a new Innovation Center initiative aimed at reducing unnecessary services in traditional Medicare and streamlining the prior ...

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

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

Across the healthcare landscape, prior authorization is undergoing significant changes aimed at reducing administrative burden and expediting care delivery. Here are three major updates to know: 1.

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

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

Some spine procedures that are traditionally fee-for-service Medicare cases will have prior authorizations added, according to CMS’ new Wasteful and Inappropriate Service Reduction model. CMS is ...

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

Insurance companies require doctors to get approval before providing some care to patients, a process known as prior ...

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

Under prior authorization, doctors or hospitals must ask a patient's health insurance company before care such as an operation or prescribing certain prescription drugs.