News

GoodRx reports that prior authorizations by insurers can delay medication access, taking days to weeks. Appeals and urgent ...
The Centers for Medicare and Medicaid Services (CMS) will implement prior authorization requirements for certain traditional fee-for-service Medicare services in six states starting next year.
Home care providers are monitoring a new Centers for Medicare & Medicaid Services Innovation Center model that will add prior authorization to some services covered by Medicare fee-for-service.
Dozens of insurance companies, including Cigna, Aetna, Humana, and UnitedHealthcare, agreed to several measures, which include making fewer medical procedures subject to prior authorization and ...
Major health insurers to relax prior authorization rules UnitedHealthcare, Cigna, and other insurers are to speed up prior authorizations, aiming for faster care access. Wednesday, June 25th 2025 ...
61% of physicians were concerned about the use of AI for prior authorization determinations in a recent survey. A Senate investigation shows they’re right to worry.
Health insurance companies have made similar promises to revamp prior authorization in the past—in both 2018 and 2023, some insurers pledged to improve the process.
The insurers are also planning to honor existing prior authorization determinations when a patient changes insurance carriers during a course of treatment, and to provide clear explanations for ...
Health insurance companies across the country have agreed to streamline and simplify the prior authorization process for patients seeking certain medical treatment, according to a nationwide ...
UnitedHealthcare, CVS Health's Aetna and dozens of other insurers say they plan to reduce the scope of health care claims subject to prior authorization.