14hon MSN
A new Medicare program that uses AI for prior authorizations is hurting patients and delaying care
Six states are part of a pilot program by CMS to reduce “waste, fraud and abuse.” ...
Bipartisan House bill targets MA prior authorization timelines and denial practices to improve Medicare Advantage patient ...
UnitedHealth Group and CVS Health have standardized data and submission rules for more than half of their prior ...
Sen. Cantwell urges HHS Secretary RFK Jr. to reform CMS’s AI prior authorization program amid care delays and provider burdens.
Leading health plans will adopt a standardized approach for providers submitting electronic prior authorization requests for the majority of medical services, which they say will accelerate ...
Major health insurers are advancing efforts to standardize prior authorization requirements as part of an effort to simplify ...
Wash., found procedures in the state that were previously approved in two weeks now take four to eight weeks to be authorized ...
Archelle Georgiou understands Americans’ frustrations with prior authorization. She helped squash the practice before, at ...
CMS has introduced a 2026 proposed rule that extends prior authorization reforms to include drugs under both medical and pharmacy benefits, enforcing faster decision timelines, mandatory electronic ...
8h
How prior authorization is sidestepping doctor-patient care; Virginia lawmakers begin to push back
When Phillip Sanderson started taking the medication Rybelsus for his diabetes, it was too strong, leaving him with stomach ...
UnitedHealthcare and Aetna detailed progress toward industry commitments aimed at reducing administrative burdens and ...
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