While the cost of health care remains the dominant worry among Americans, the process of obtaining prior authorization from ...

The Centers for Medicare and Medicaid Services (CMS) has implemented prior authorization requirements for certain traditional ...

"Medically necessary" is often a four-letter word for patients.

Artificial intelligence will soon play a role in whether Medicare will pay for Ohioans' pain relief therapy and skin substitute bandages. Starting Jan. 1, technology will determine whether Medicare ...

A bill to exempt health-care providers who have 90% or more of their claims approved from health-insurance companies' requirements for prior authorization of certain treatments has failed again.

Trina Paul is a Breaking News and Personal Finance Writer at Investopedia, covering topics like retirement, consumer debt, and retail investing. She focuses on making complex financial topics ...

UnitedHealth has rescinded a plan to require prior authorization for colonoscopies and other endoscopic procedures, following backlash from physician groups. UnitedHealth, which operates the biggest ...

Many physicians and practices say prior authorization is a major administrative burden and have urged lawmakers to institute reforms to the process for commercial and public payers. Nearly 97% of ...

Many health systems and patients have struggled with prior authorization procedures. Prior authorization practices are staying in the spotlight. Health systems are looking for payers to do more to ...

OVERLAND PARK, Kan., July 09, 2020 (GLOBE NEWSWIRE) -- Beginning July 1, 2020, Medicare began requiring prior authorization for five types of surgery – blepharoplasty, botulinum toxin injections, ...

CVS Health (CVS) announces major changes to its prior authorization procedures to ensure continuity of care for patients.