The Centers for Medicare and Medicaid Services finalized the CMS Interoperability and Prior Authorization Rule on Wednesday. CMS said the rule will improve the prior authorization process and save ...

But critics say it’s a way for insurers to increase their profits by denying care. The participating health insurers have promised to work toward a common electronic prior authorization process, which ...

Health plan members of AHIP and the Blue Cross and Blue Shield Association made news earlier this week when they announced a series of steps that a broad swath of health insurers will take to improve ...

The New Mexico Office of Superintendent of Insurance urges all health insurance consumers to actively monitor the status of any prior authorization requests submitted on their behalf. Prior ...

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 ...

Initially meant to protect patients from unnecessary procedures, prior authorizations have shifted towards being a cost containment strategy for health payers. This shift is causing significant ...

Please provide your email address to receive an email when new articles are posted on . CMS finalized a rule to streamline prior authorization requests and make the process more transparent. Experts ...

Payers have new deadlines to issue prior authorization decisions — 72 hours for urgent requests and seven days for non-urgent ones. Prior authorization is a process wherein a doctor must get approval ...

The relationship between payers and providers has been historically contentious, with prior authorization being one of the biggest pain points. The process remains a heavily manual and costly burden ...

Dr. Mehmet Oz, administrator for the Centers for Medicare and Medicaid Services, said during a press conference on Monday that health insurers have "agreed to sheath their swords" and work together on ...

Few readers would be surprised to read that Americans are dissatisfied with their health care coverage — an outrage that the December 2024 assassination of UnitedHealthcare CEO Brian Thompson arguably ...

We were unable to process your request. Please try again later. If you continue to have this issue please contact [email protected]. The rule requires decisions on standard requests within ...