Medicare is launching a new pilot program that will require prior approval for 17 health services using artificial ...
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 ...
More than 50 major insurers have pledged to streamline prior authorization starting in 2026, but providers remain cautiously optimistic and skeptical that the changes will truly reduce burden or ...
The National Council of Insurance Legislators (NCOIL) has adopted the Prior Authorization Reform Model Act at its 2025 Annual ...
Prior authorization is a headache for patients and providers. It’s a time-consuming process: physician offices spend hours getting OKs from health plans to cover medications and specific medical ...
Prior authorization is a major pain point for physicians—but emerging tech could help, according to new data. In a case study of new prior authorization technology from Holon Solutions, a primary care ...
Medicare in January will begin AI-powered pre-treatment reviews for select health services in a major policy change that's aimed at rooting out unnecessary care — but alarming providers. Why it ...
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 ...