Major insurers say they’ll ease up on the prior-authorization practice that can delay necessary care for patients.

Highmark is among the more than 50 health insurers who pledged Monday to speed up and slim down prior authorization, the ...

Prior authorization refers to when medical providers have to get approval from insurers before performing a service. Patients ...

The Centers for Medicare & Medicaid Services June 27 announced the rollout of a 6-year technology-enabled prior authorization ...

According to a National Conference of State Legislatures database, 23 states enacted more than 43 bills related to prior authorization in the last few years, with 18 enacted so far in 2024 alone.

Prior authorization means insurers require approval before they’ll cover medical care, a prescription or a service like an imaging exam. Insurers say they do this to guard against care overuse ...

Health insurers promise changes to prior authorization process. What to know They will reduce the scope of claims subject to medical prior authorization, and they will honor the pre-approvals of a ...

Last year, only 26% of the provider groups UnitedHealthcare works with submitted more than one prior authorization request, Docimo said. "It may be perceived as prevalent, but it's not required in ...

The new CMS regulations on prior authorization have been heralded as a big step forward in reducing administrative burdens on physicians, but some people think it doesn't go far enough.