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

CMS is adding prior authorization requirements for certain fee-for-service procedures under traditional Medicare as part of its new Wasteful and Inappropriate Service Reduction model. A total of 17 ...

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 ...

Below is a roundup of payer-centric news headlines you may have missed during the month of June 2025. | In June, Gold Coast ...

Opioid addicts covered by Medicare and Medicaid are less likely to receive the mental health and substance use treatment that ...

The model will leverage AI and machine learning for prior authorization of services vulnerable to fraud or inappropriate use, ...

Some spine procedures including spinal fusion, lumbar decompression and vertebral augmentation will need prior authorization under CMS’ new Wasteful and Inappropriate Service Reduction model, a move ...

Beginning next year, the CMS will launch an AI-powered prior authorization process for some services as it seeks to cut ...

L: On December 28, 2016 AARP sent letters to the entire Congress expressing AARP’s views on the ACA and health care reform. AARP supports the Patient Protection and Affordable Care Act (ACA) because ...

Home care providers are monitoring a new Centers for Medicare & Medicaid Services Innovation Center model that will add prior ...