Health insurers covering more than 250 million Americans have unveiled a sweeping plan to streamline and reduce prior authorization requirements — a long-standing source of frustration and burnout for ...

Home care providers are monitoring a new Centers for Medicare & Medicaid Services Innovation Center model that will add prior ...

About 1 in 6 insured adults in the U.S. say they’ve had trouble with prior authorizations, according to a recent survey from health policy group KFF.

Ted Okon, MBA, of the Community Oncology Alliance discusses how community oncology faces a revenue crisis due to the ...

Health insurance companies have pledged to improve prior authorization with 6 key reforms, according to the HHS.

An Orange County man has been charged with helping carry out a nearly $270 million Medi-Cal fraudulent billing scheme that prosecutors allege took advantage of changes to the health care program’s ...

An Orange County man is expected to be arraigned July 17 for his alleged role in a health-care fraud scheme in which nearly $270 million in bogus claims were submitted to Medi-Cal for expensive ...

Some fee-for-service spine procedures in traditional Medicare will have prior authorizations added, according to CMS’ new Wasteful and Inappropriate Service Reduction model. CMS is partnering with AI ...

Optum Rx officials said they now have eliminated reauthorization requirements for more than 140 chronic disease medications.

Across the healthcare landscape, prior authorization is undergoing significant changes aimed at reducing administrative burden and expediting care delivery. Here are three major updates to know: 1.

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