Last summer, major payers committed to pare back onerous prior authorization policies, to the skepticism of providers. Now, ...

A 2024 CMS rule now requires payers, including Medicare Advantage plans, Medicaid, CHIP and ACA exchange carriers, to publicly report prior authorization metrics for the first time. The public ...

US health insurers are advancing toward real-time prior authorization decisions by 2027 after reducing request volumes by 11%, eliminating 6.5 million transactions in 10 months. Insurers are working ...

Providers, health plans and vendors represented by the nonprofit organization CAQH voted to set a two-day limit on prior authorization requests, the group said Feb. 4. Prior authorization comes at a ...

Prior authorization, Medicare Advantage requirements and quality reporting are among the leading drivers of practices’ ...

Payers and providers came out in support of a new rule from the CMS proposing requirements on certain health insurers in a bid to improve the prior authorization process, though provider groups say ...

This story was originally published on Healthcare Dive. To receive daily news and insights, subscribe to our free daily Healthcare Dive newsletter. The CMS will soon make it more difficult for ...

Providers believe payers deliver on promises in Aetna's survey of 827 U.S. healthcare leaders on trust and priorities.

Several provider groups pressed Medicare officials Tuesday to install several proposed reforms to prior authorization, including mandating an electronic process for plans to approve requests.

I mean, we have patients to see, folks! No one, and I mean no one, has time for that. Well, some good news for all of you in the industry secondary to part of the Biden-Harris administration’s ongoing ...