For Americans navigating the pharmacy counter, the price of a prescription is often just the beginning of the story. Behind ...

New Orleans-based Ochsner Health has signed a new three-year agreement with Latent Health to expand the use of AI tools that streamline medication prior authorizations across its network. The ...

The Centers for Medicare & Medicaid Services should create a centralized Medicare Advantage (MA) payment and claims portal as ...

Prior authorizations are increasingly straining the healthcare industry, according to a survey of 1,000 practicing physicians in the U.S. The American Medical Association conducted the survey, which ...

Based on our experiences working with Medicare beneficiaries, the information people want or need to make informed decisions ...

The Centers for Medicare & Medicaid Services (CMS) Interoperability and Prior Authorization Final Rule ... and questions in decision-tree forms. In addition to building the infrastructure that ...

The simple truth is that the modern form of prior authorization ... the Centers for Medicare & Medicaid Services passed a final rule on streamlining prior authorization processes in 2024, but ...

There isn’t a specific form your healthcare professional needs to fill out to request prior authorization ... the Centers for Medicare & Medicaid Services (CMS) has reduced this wait time ...

Typically, a provider or supplier submits forms to a health insurance ... In 2024, the Centers for Medicare & Medicaid Services (CMS) started to require Medicare Advantage plans to streamline their ...

As the existing Final Rule from the Centers for Medicare and Medicaid Services (CMS) already outlines, the transition to electronic prior authorization (ePA) systems will occur in stages ...

Source: Getty Images Recent rules, legislation, and changes made by insurance companies may provide relief for patients and health care providers burdened by current prior authorization processes.

The Centers for Medicare and Medicaid Services ... may relax prior authorization requirements for federally regulated plans in states with stricter laws for other forms of insurance so their ...