Ohio patients will face new hurdles for procedures like steroid injections and knee arthroscopy under the controversial WISeR ...

The Centers for Medicare and Medicaid Services (CMS) recently announced the launch of a program that will require individuals ...

A new Medicare pilot program set to launch next year in Ohio and other states could change the way older Americans access certain medical treatments, drawing sharp criticism from physicians, patient ...

Starting in December, Medicare will begin requiring prior authorization for certain procedures when performed in ambulatory ...

The Trump administration has established a pilot program to expand prior authorization requirements within traditional ...

The House Appropriations Committee has advanced a spending bill for 2026 that includes an amendment blocking funding for a pilot program that would add prior authorization for some traditional fee-for ...

Medicare providers participating in and payers offering Part C and Part D plans are facing increasing pressure to move into the 21st century, and the government is taking decisive steps to ensure this ...

Prior authorization is the process by which your doctor must request approval from your Medicare plan before they can order a particular medication or medical service. Generally, Original Medicare ...

Medicare Advantage prior authorization (PA) is the process you go through to get certain services and drugs approved before ...

When you are sick or in pain, the prior authorization process can be frustrating and will sometimes result in a denial. If you've never been through the process, prior authorization is a requirement ...

Some congressional Republicans agree with Democrats that the Trump administration’s plan to require prior approvals for some ...