Heartland

Biden Administration Takes Steps to Reform ‘Prior Authorization’

The Biden administration finalized a new rule on how insurers can use prior authorization (PA), a practice aimed at reducing unnecessary treatment, but a headache for doctors and patients. The new ...
Healthcare Finance News

Humana pledges to simplify prior authorization process

Health insurer Humana has said it’s engaging in efforts to streamline the prior authorization process, in part by approving care requests as quickly as possible and reducing the administrative burdens ...
The American Journal of Managed Care

Navigating Prior Authorization and Prescription Process for AD Treatment

Expert panelists discuss bridging communication between payers and providers in the AD treatment pathway. Casey Butrus, PharmD: I know you mentioned, Amy, that prior authorizations are on every ...
Healio

Rule streamlining prior authorization is a step forward for primary care, 'but not a leap'

Please provide your email address to receive an email when new articles are posted on . CMS finalized a rule to streamline prior authorization requests and make the process more transparent. Experts ...
CNN

Health insurers promise to simplify care preapproval process

The efforts are first steps to improving the prior authorization process, but more needs to be done, experts told CNN. The commitments to standardize and streamline preapprovals, as well as provide ...
NBC Los Angeles

Health insurers promise changes to prior authorization process. What to know

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 ...

Prior authorization bill now eligible for House fast track

Legislation aimed at reducing delays when Medicare Advantage plans require preapproval for care could hit the House floor ...
Becker's Hospital Review

‘A step in the right direction’: Payer, provider groups weigh in on new prior authorization rule

CMS finalized a rule Jan. 17 aiming to streamline the prior authorization process and improve the electronic exchange of health information that it estimates will save $15 billion over 10 years. ACHP ...

Prior Authorization In 2026: How Agency Leaders Should Set Expectations

At the same time, major insurers have pledged to reduce the scope of services subject to prior authorization, improve transparency and ensure 90-day continuity of authorizations when consumers switch ...
Forbes

Prior Authorization Reform Is Here — And It Could Change How Millions Get Care

Forbes contributors publish independent expert analyses and insights. Jesse Pines is an expert in healthcare innovation and wellness. This voice experience is generated by AI. Learn more. This voice ...

Medicare Advantage plans denied prior authorization requests at unusually high rates, HHS report finds

UnitedHealthcare, CVS Health and Humana had the highest denial rates for long-term care requests, according to a report from ...