People with Medicare have the option of receiving their Medicare benefits through the traditional Medicare program administered by the federal…
Browsing: Prior
Lawmakers introduced a resolution to end the WISeR model, which Democrats say is delaying and denying care to seniors.
Only 33% of physicians surveyed by the American Medical Association said they believed voluntary pledges made by major insurers last…
The effort, part of the agency’s ambitious Health Tech Ecosystem, aims to accelerate the industry’s progress before requirements on electronic…
The influential advisory group is recommending policies to boost human oversight and visibility into how Medicaid plans are using the…
Federal Regulation and Oversight of AI Few federal standards apply specifically to the use of AI in the prior authorization…
Carriers are racing to deliver on sweeping commitments as Washington tightens the screws
Aligning electronic data submission requirements for prior authorizations is one prong of the insurance industry’s commitment to reform the unpopular preapprovals.
The report compiled by Sen. Maria Cantwell, D-Wash., found procedures in the state that were previously approved in two weeks…
Drugs were left out of a 2024 rule streamlining prior authorizations, including by making decisions electronic and requiring payers to…
The decline in prior authorization use follows a June 2025 commitment by more than 40 insurers to streamline approval processes.…
Last summer, major payers committed to pare back onerous prior authorization policies, to the skepticism of providers. Now, AHIP and…
Eric Tennant with his wife, Becky, and daughter, Amiya.(Becky Tennant) Six months after a West Virginia man died following a…
The Electronic Frontier Foundation is seeking more information on the government’s agreements with participating vendors, along with records related to…