News

The Centers for Medicare and Medicaid Services (CMS) will implement prior authorization requirements for certain traditional ...
In 2026, the Centers for Medicaid and Medicare Services will implement a prior authorization for certain services covered ...
OKLAHOMA CITY (KFOR) — The Centers for Medicare and Medicaid Services will be implementing prior authorization requirements ...
The Centers for Medicare & Medicaid Services (CMS) rolled out an Innovation Center model Friday to test new prior ...
HHS has secured a pledge from insurers to streamline the companies’ practice of requiring prior authorizations before ...
Prior authorization is the process by which your doctor must request approval from your Medicare plan before they can order a particular medication or medical service. Generally, Original Medicare ...
UnitedHealthcare, Blue Cross Blue Shield and other health insurers plan fixes to prioer authorization, a common source of consumer complaints.
Insurers said Monday that they will standardize electronic prior authorization by the end of next year to help speed up the process. They will reduce the scope of claims subject to medical prior ...
For comparison, the Centers for Medicare and Medicaid Services completed almost 400,000 prior authorization reviews for Original Medicare in 2023 and denied 28.8%, or 113,448 of requests received.