The new KFF report found that payers either fully or partially denied 4.1 million prior authorization requests in 2024, or ...

Acquisition strengthens Onyx’s ability to help health plans modernize ePA, scale to meet CMS deadlines, and maximize ...

The federal government has begun using artificial intelligence to review whether certain treatments are necessary for ...

The Centers for Medicare and Medicaid Services (CMS) has implemented prior authorization requirements for certain traditional ...

The rule is expected to reduce staff workload, with fewer manual processes, and better visibility into coverage requirements and authorization status.

New partnership pilots Ethermed’s AI-driven prior authorization automation inside Tanner Health’s Epic environment.

The paperwork burden of prior authorization keeps climbing, and for some ASCs, the only way through is to treat it like a daily fight. Elisa Auguste, administrator at East Setauket, N.Y.-based ...

While the AHA has called on CMS to rethink its plan to add prior authorization requirements to traditional Medicare, some argue that the program is due for some utilization management. CMS has sparked ...

Staff at Arkansas' Harmony Park Family Medicine have been excited about streamlining the prior authorization process with the goal of improving patient access to high-quality care. Prior authorization ...

CVS Health (CVS) on Thursday announced that it plans to make a large portion of its prior authorization procedures consistent ...

The House Banking and Insurance Committee advanced a bill on Wednesday, Jan. 14 that would allow certain health care ...

On January 14, 2026, Massachusetts Governor Maura Healey announced that the Division of Insurance (DOI) will be promulgating ...