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

Prior authorization is the process by which your doctor requests approval from your Medicare plan before they can order a particular medication or medical service.

CMS is proposing Medicare Advantage, ACA and Medicaid managed care plans adopt electronic prior authorization systems by 2026.

The new CMS regulations on prior authorization have been heralded as a big step forward in reducing administrative burdens on physicians, but some people think it doesn't go far enough.

Indiana's revenue report indicates that incoming monies will be sluggish over the next two years, with Medicaid costs growing faster than the state's revenues, and Republican leaders have ...

Illinois bans step therapy, health plan prior authorization for emergency mental health care The law aims to address healthcare affordability and access issues, but it could result in higher drug ...

Illinois’ Medicaid program now covers gender-affirming care, which can include a range of services such as hormone therapy and surgeries.

A revenue report determined that incoming monies would be sluggish over the next two years, with few new dollars expected to hit Indiana’s coffers.

What to expect in terms of legislation At least one bill in the upcoming session will be familiar to the legislature: a bill seeking to restrict the use of prior authorization.

A revenue report determined that incoming monies would be sluggish over the next two years, with few new dollars expected to hit Indiana’s coffers.

A revenue report determined that incoming monies would be sluggish over the next two years, with few new dollars expected to hit Indiana’s coffers.

What to expect in terms of legislation At least one bill in the upcoming session will be familiar to the legislature: a bill seeking to restrict the use of prior authorization.