Strengthen your financial backup. Even with Medicare coverage, unexpected out-of-pocket expenses can pop up. Earn as much as ...

The AI-powered prior auth requirements under the CMS' Wasteful and Inappropriate Service Reduction model would increase ...

AHA has “substantial concerns” over the vendor payment structure in WISEeR that incentivizes denials at the expense of ...

Democrats in the House are making a push to roll back the Trump administration's new prior-authorization demonstration. | ...

Medicare has selected the technology vendors who'll run its prior authorization pilot in New Jersey, Ohio, Oklahoma, Texas, ...

Surveyed medical groups reveal burdens have increased in the past 12 months, resulting in delays or denials for necessary care. Despite scrutiny of prior authorization practices in Medicare Advantage ...

Prior authorizations are required by insurance companies for some medications. This includes those that may have less expensive alternatives. The prior authorization process can take anywhere from a ...

Lawmakers argue the CMS innovation center pilot, which will implement AI-backed prior authorization for some services in six ...

The aggravating prior authorization process includes one step that merits scrutiny and potentially regulatory action: the ...

They found that the automated diabetes GLP-1 prior authorization proportion of all diabetes GLP-1 claims grew by 17.5 percentage points, or 39.6%, from October 2024 to July 2025.

State Senate Minority Leader Gerald Neal, D-Louisville, plans to introduce legislation in the 2026 session ensuring that ...