The six-year WISeR Model trial begins January 2026, affecting traditional Medicare recipients seeking certain medical ...

Health insurance companies will have to invest in technology and update their administrative processes to comply with new prior authorization requirements. The Centers for Medicare and Medicaid ...

As congressional Democrats and Republicans battle over how to avert a potential government shutdown, another issue -- reining in prior authorizations -- remains on both parties' radar screens, ...

If you’ve ever been a patient waiting—days, sometimes more than a week—for treatment approval, or a clinician stuck chasing it, you know what prior authorization feels like. Patients sit in limbo, ...

Practicing physicians know all too well how prior authorization can disrupt the delivery of smooth, timely patient care. It’s a common cause of delays, administrative hurdles, and immense frustration ...

While there's a lot of buzz around prior authorization, it applies to fewer than 2% of claims. Prior authorization ensures care is both safe and aligned with the most up-to-date clinical guidelines.

Prior authorization has emerged as a flash point between payers and providers as the former tries to manage what they believe is waste in the system while the latter accuses payers of trying to deny ...

Few readers would be surprised to read that Americans are dissatisfied with their health care coverage — an outrage that the December 2024 assassination of UnitedHealthcare CEO Brian Thompson arguably ...

Navigating the healthcare system can be a complex and frustrating experience for many patients. Among the many challenges, one of the most insidious barriers to timely care is prior authorization.

"These shortages aren't just about an insufficient supply; they're fueled by burnout," said Dr. Paola Ballester, MD, ...

AI-driven prior authorizations (PAs) are trusted by many clinicians, promising to streamline processes and reduce ...