Humana said on Tuesday it would eliminate about one-third of prior authorizations for outpatient services by next year, the ...

A new survey reveals widespread consumer frustration with prior authorization, highlighting the need for urgent reform in ...

Michigan's Collaborative for Type 2 Diabetes (MCT2D), a statewide population health collaborative quality initiative, analyzed nearly 1,000 physician-submitted patient case summaries and needs ...

Preauthorization is about to enter the lives of many seniors who have chosen traditional Medicare over MA, write former CMS ...

Prior authorization is a process health insurers use to determine whether they will cover a prescription, medical procedure, ...

This is where she finds the prior authorization requests, determinations and updates. And often, this is where the real work ends, and the busy work begins. In other health care news: Nurses at Beebe ...

There's a lot of hype around the potential for new technologies to fix the prior authorization process, but this rev cycle ...

Humana has announced several steps it will take to ease prior authorization requirements. | The insurer said that by Jan. 1, ...

Humana will cut prior authorizations, launch a gold card program, and speed up electronic approvals to improve care access ...

Under her bill, a medical provider’s prior authorization requests during a six-month evaluation period would be reviewed. After that period, providers whose requests were approved at least 90% ...

However, in December 2022, CMS proposed its own prior authorization regulations that included many of the provisions in that first version, such as mandating that "impacted payers" -- including MA ...

UPDATED: Thursday, May 9 at 5:50 p.m. | A New York urologist believes prior auth CPT codes will realign incentives and better support patients and physicians.