Starting July 2026, Medicare will pilot the 'GLP-1 Bridge,' a temporary program allowing some retirees coverage for weight loss drugs like Wegovy and Zepbound. The initiative marks a shift from ...

Bipartisan House bill targets MA prior authorization timelines and denial practices to improve Medicare Advantage patient ...

Beginning next year, the CMS will launch an AI-powered prior authorization process for some services as it seeks to cut funding for what it deems medically unnecessary care. The Center for Medicare ...

Major health insurers are advancing efforts to standardize prior authorization requirements as part of an effort to simplify ...

Humana will eliminate about one-third of outpatient prior authorization requirements and speed up approvals by 2026, aligning ...

Prior authorization forces doctors to spend 13 hours a week fighting insurers. New federal rules are changing that. Here's what you need to know.

Prior authorization is a process that involves contacting a person’s Medicare provider to request coverage for a medical service, drug, or piece of equipment. If a person has Original Medicare (parts ...

Policy experts suggest reform of prior authorization that would require coverage decisions be supported solely by evidence ...

Chapter reports on avoiding common Medicare Advantage issues like high costs, prior authorization delays, and provider access ...