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 ...

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.

Below is a roundup of payer-centric news headlines you may have missed during the month of June 2025. | In June, Gold Coast ...

While major provider organizations welcomed insurers' pledge earlier this week to reform prior authorization, these groups withheld praise without yet seeing the efforts bear fruit. | While major ...

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 insurance companies are set to streamline, simplify and reduce the pre-approval process by transitioning to an ...

Different forms and varied prior authorization policies also complicate the process. Sumrall noted that every insurer “has their own way of doing business.” ...

Different forms and varied prior authorization policies also complicate the process. Sumrall noted that every insurer “has their own way of doing business.” ...