Traditional Medicare beneficiaries generally don't need prior authorization before receiving medical treatment.In January, however, a new pilot program launched by the Centers for Medicare and ...

Legislation aimed at reducing delays when Medicare Advantage plans require preapproval for care could hit the House floor ...

Add Yahoo as a preferred source to see more of our stories on Google. Health insurance giant UnitedHealthcare said on May 5 it will eliminate prior-approval requirements for 30% of health care ...

UnitedHealthcare, CVS Health and Humana had the highest denial rates for long-term care requests, according to a report from ...

At the same time, major insurers have pledged to reduce the scope of services subject to prior authorization, improve transparency and ensure 90-day continuity of authorizations when consumers switch ...

Forbes contributors publish independent expert analyses and insights. Jesse Pines is an expert in healthcare innovation and wellness. This voice experience is generated by AI. Learn more. This voice ...

The theme of this week is payment. First, I’ve been paying close attention to a recent investigation by the Office of the ...

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 ...

Cigna Healthcare, the health benefits provider of the Cigna Group, will be removing close to 25% of medical services from prior authorization requirements, the insurer said today. With the removal of ...

When Matt Conway tore his bicep delivering a table recently, there were numerous barriers to getting it fixed. First, “a ...