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 ...

The Centers for Medicare and Medicaid Services will be implementing prior authorization requirements for certain traditional ...

A new CMS model will introduce new prior authorization requirements to traditional Medicare in six states, raising provider concerns about administrative burden.

Gold Card’ programs were supposed to ease prior authorization burdens for doctors whose treatment recommendations are ...

Insurance companies require doctors to get approval before providing some care to patients, a process known as prior authorization. Doctors and patients alike are often frustrated by the process, ...

The Centers for Medicare & Medicaid Services (CMS) rolled out an Innovation Center model Friday to test new prior ...

The Senate voted to advance President Donald Trump's One Big Beautiful Bill (H.R. 1) on Tuesday, approving nearly $1 trillion ...

For many in long-term care, Monday’s announcement about voluntary prior authorization reforms reeks of unpleasant déjà vu. That’s because they’ve been denied before.

Beginning next year, the CMS will launch an AI-powered prior authorization process for some services as it seeks to cut ...

The largest U.S. insurers agreed Monday to streamline their often cumbersome preapproval system. Here are five takeaways.

The nation’s major health insurers are promising to scale back and improve a widely despised practice that leads to care delays and complications.