CMS will implement prior authorization requirements for certain traditional fee-for-service Medicare services in six states starting next year. New Jersey, Ohio, Oklahoma, Texas, Arizona, and ...

Skeptics note that efforts to streamline the much-despised prior authorization system have failed twice before.

Below is a roundup of payer-centric news headlines you may have missed during the month of June 2025. | In June, Gold Coast ...

Home care providers are monitoring a new Centers for Medicare & Medicaid Services Innovation Center model that will add prior ...

Health insurance companies have pledged to improve prior authorization with 6 key reforms, according to the HHS.

A new study found that almost all plans in 40 states and Washington, DC covered at least one form of the opioid overdose reversal drug naloxone, although certain restrictions and quantity limits may ...

Centers for Medicare and Medicaid (CMS) administrator Dr. Mehmet Oz accidentally revealed on Fox News, Wednesday that he has ...

Dozens of health insurers, including those with MA plans, pledged on Monday to reduce their use of prior authorizations, sparking excitement and skepticism.

Health insurance companies are set to streamline, simplify and reduce the pre-approval process by transitioning to an ...

UnitedHealthcare, CVS Health's Aetna and dozens of other insurers say they plan to reduce the scope of health care claims ...