AHA supports the Administrations role in facilitating the health insurer pledge to reform prior authorization processes announced on June 23.

While the use of AI in health insurance isn’t new, Medicare has been slow to adopt the private-sector tools. Medicare has ...

A CMS pilot program that would add prior authorization for some traditional fee-for-service Medicare services has come under increased scrutiny by ...

Have you ever walked into the pharmacy and been told that your prescription requires a prior authorization? But your healthcare professional prescribed something for you, and you brought in your ...

Sarah Bajorek, PharmD, BCACP, assistant chief pharmacy officer for ambulatory care at UC Davis Health, discussed how the ...

The additional red tape could save money, but may harm patient access and quality of care. Stakeholders are urging the CMS to increase transparency and hold participants accountable.

As congressional Democrats and Republicans battle over how to avert a potential government shutdown, another issue -- reining ...

Some congressional Republicans agree with Democrats that the Trump administration’s plan to require prior approvals for some ...

Gov. Jared Polis ordered the Colorado Department of Health Care Policy and Financing to reinstate prior authorization for ...

Medicare Original's historic freedom is set to change. Starting January 1, 2026, prior authorization will be required for ...

A controversial new Medicare pilot program will introduce AI-driven prior authorization, with contractors paid to deny claims. Starting January 2026, the Wasteful and Inappropriate Services Reduction ...