Orthopedic surgeon calls removal of prior auth red tape to reduce surgery delays and cancellations caused by insurance ...

Recipients of Medicaid frequently face prior authorization hurdles when pursuing medical care or treatment. Medicaid is a ...

Starting in 2026, Medicare beneficiaries in 6 states will need prior authorization for 17 services under the new WISeR Model.

Last summer, the Trump administration announced a voluntary pledge by health insurers to reform prior authorization, which ...

Why do I need a prior authorization for something that I am already prior-authorized to take? If my doctor says that they want me on a medication, why does my insurance have another say in that?” — ...

WASHINGTON -- A top health official at the Centers for Medicare & Medicaid Services (CMS) hedged on payment reform, but committed to helping physicians address prior authorization challenges, during ...

Imagine you and your gastroenterologist have discussed a new ulcerative colitis (UC) treatment plan that promises to reduce your symptoms and the stress that comes with them. Then, when you go to ...

CLEVELAND, Ohio — Prior authorization is the top challenge that Americans have when navigating the health care system, according to a new KFF poll. About 32% of those polled said prior authorization ...

Semaglutide (GLP-1) drugs like Ozempic are designed to treat type 2 diabetes, but are widely known for their effect on weight loss. Credit: Shahrzad Rasekh / CT Mirror Groups representing low-income ...

Optum is introducing AI-powered prior authorization. Optum said the intelligent automation solution delivers timely decisions for providers to reduce delays, speed approvals and reduce repetitive work ...

Optum is rolling out new AI-powered tools that aim to reduce delays associated with prior authorization. The company unveiled two new platforms aimed at streamlining the decision process: Digital Auth ...

Optum has launched a pair of AI-driven prior authorization products, one designed to speed up submissions on the provider side and another to accelerate clinical reviews for payers. The ...