Michigan's Collaborative for Type 2 Diabetes (MCT2D), a statewide population health collaborative quality initiative, analyzed nearly 1,000 physician-submitted patient case summaries and needs ...

Michigan’s Collaborative for Type 2 Diabetes (MCT2D), a statewide population health collaborative quality initiative, analyzed nearly 1,000 physician-submitted patient case summaries and needs ...

The GOP-led Rules Committee -- which was working on advancing a slate of unrelated bills -- came to a halt Monday evening ...

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 ...