News

Health Insurance CEO Pulls Back Curtain on Prior Auth Reform
The Senate voted to advance President Donald Trump's One Big Beautiful Bill (H.R. 1) on Tuesday, approving nearly $1 trillion ...
Rheumatology Advisor1d
Health Insurers Have Promised Prior Authorization Reform, HHS Says
Health insurance companies have pledged to improve prior authorization with 6 key reforms, according to the HHS.
Becker's Spine Review2d
The prior authorization reforms spine surgeons want from payers
As payers announce plans to improve prior authorizations, two spine surgeons discuss the changes that would make the most difference for them. Ask Spine Surgeons is a weekly series of questions posed ...
Healthcare Dive3d
CMMI to add prior authorization for some Medicare services
Beginning next year, the CMS will launch an AI-powered prior authorization process for some services as it seeks to cut ...
Becker's ASC3d
What’s going on with prior authorization?
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.
Fierce Healthcare3d
New CMMI model injects 'enhanced technologies' in Medicare prior authorization to limit fraud
The Centers for Medicare & Medicaid Services (CMS) rolled out an Innovation Center model Friday to test new prior ...
Becker's Hospital Review4d
CMS to add prior authorization for traditional Medicare services
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.
American Hospital Association6d
CMS announces new prior authorization program pilot
The Centers for Medicare & Medicaid Services June 27 announced the rollout of a 6-year technology-enabled prior authorization ...
5 takeaways from health insurers’ new pledge to improve prior authorization
The largest U.S. insurers agreed Monday to streamline their often cumbersome preapproval system. Here are five takeaways.
Wellbeing Whisper on MSN8d
Behind the Scenes of Prior Authorization Reform: How New Rules Could Transform Patient Care and Provider Burnout
Prior authorization can be a roadblock that costs lives,” Rep. Mark Green, M.D., declared as a bipartisan group of ...
Health insurers promise changes to prior authorization process. What to know
The nation’s major health insurers are promising to scale back and improve a widely despised practice that leads to care ...
Healio1mon
Prior authorization shifts burden to clinicians and leaves patients waiting - Healio
Prior authorization was initially designed to improve care by preventing unnecessary or unsafe treatments. But in its current form, it has become a barrier that disproportionately impacts the ...