Lawmakers on Thursday explored the merits of a bill that would block the Centers for Medicare & Medicaid Services (CMS) from ...
A six-state pilot program will target “wasteful care” under Medicare, Centers for Medicare & Medicaid Services says.
Medicare is launching a new pilot program that will require prior approval for 17 health services using artificial ...
MINNEAPOLIS, MN, UNITED STATES, January 8, 2026 /EINPresswire.com/ -- Itiliti Health, a leader in prior authorization ...
Health insurance companies are expected to hold to their promises in 2026 to “streamline, simplify and reduce” prior ...
Christopher Marks noticed an immediate improvement when his doctor prescribed him the Type 2 diabetes medication Mounjaro last year. The 40-year-old truck driver from Kansas City, Missouri, said his ...
Beginning Jan. 1, 2026, 17 medical procedures will require prior authorization for patients under the traditional Medicare ...
In August, AHIP, the trade association for health insurance companies representing the industry’s top players, announced that they reached a deal with the White House to reform prior authorization for ...
When Paula Chestnut needed hip replacement surgery last year, a pre-operative X-ray found irregularities in her chest. As a smoker for 40 years, Chestnut was at high risk for lung cancer. A specialist ...
The nation’s major health insurers are promising to scale back and improve a widely despised practice that leads to care delays and complications.UnitedHealthcare, CVS Health's Aetna and dozens of ...
The idea behind it seems reasonable: Insurers want to ensure treatments are medically necessary before they pay for them. But ...
Health plans have been expanding the use of prior authorization as a tool to control costs for several years, to the frustration of physicians. MGMA members put the practice at the top of a list of ...
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