The U.S. healthcare system presents an economic paradox as excessive spending fails to produce superior health outcomes. The "Prior Authorization Trap" exacerbates this crisis by delaying patient care ...

As with environmental law and consumer protections, the Trump administration’s enthusiasm for deregulation has undone long-sought rules to improve care for the aged.

The Center for American Progress submitted comments to the Centers for Medicare and Medicaid Services (CMS) urging reforms to rein in Medicare Advantage overpayments, strengthen accountability for ...

Now, however, a new pilot program is launching in six states that will necessitate prior approval for 17 covered services.

Welcome back to the Daily Aviation, as we explore how the Panama Canal enables both global shipping and complex US Navy ...

Insurance Commissioner Vicki Schmidt told Kansas lawmakers the prior authorization process is broken, but indicated lobbyists will oppose legislation.

Inflation impacts many different products and services, including Medicare. Beginning in 2026, standard Medicare Part B ...

The Wasteful and Inappropriate Service Reduction Model, or WISeR, is being tested in six states, including Oklahoma, starting ...

Digitizing prior authorization policies, meeting compliance timelines; and delegated third parties facing challenges connecting with different systems ...

We have guidance on protein, full-fat dairy, breakfast and more. By Caroline Hopkins Legaspi and Alice Callahan Caroline Hopkins Legaspi and Alice Callahan are health reporters who focus on nutrition.

Does Medicare require prior authorization? Medicare Advantage plans often require prior authorization. But these coverage reviews are rare for original Medicare. That distinction changes in 2026. Many ...

Prior authorizations are required by insurance companies for some medications. This includes those that may have less expensive alternatives. The prior authorization process can take anywhere from a ...