Skeptics note that efforts to streamline the much-despised prior authorization system have failed twice before.

Health insurance companies have pledged to improve prior authorization with 6 key reforms, according to the HHS.

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 ...

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 ...

AI for prior authorization determinations in a recent survey. A Senate investigation shows they’re right to worry.

Health insurers may refuse to pay for procedures, tests, medications, and more. If you think a service or treatment should be ...

In Medicare Advantage, fewer than 12% of denied prior authorization requests were appealed in 2023, according to a KFF analysis of CMS data. But nearly 82% of appeals resulted in the denials being ...

Major companies had faced mounting pressure to stop denying or stalling authorization of coverage for treatments and ...

Following the backlash that hit health insurers after the killing of a top executive last year, the industry will pledge steps meant to smooth the controversial preapproval process that can deny or ...