CMS has added electronic prior authorization to its Health Tech Ecosystem. The agency says health systems, hospitals, ...

The proposed rule aims to improve prior authorization for prescription drugs by establishing and requiring electronic prior ...

The Centers for Medicare and Medicaid Services (CMS) is adding electronic prior authorization to the Health Tech Ecosystem, ...

The planned cuts come as payers face ongoing pressure to reduce prior authorization use. For example, a recent initiative led ...

Prior authorization is the process by which your doctor must request approval from your Medicare plan before they can order a particular medication or medical service. Generally, Original Medicare ...

With denial rates at 4 percent in 2025, the Dallas-based, tech-forward insurer is outperforming national averages.

Andrew Mellin, M.D., discusses Surescripts’ pilot program for prior authorization system, which pulls clinical data from EHRs ...

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 ...

People walk inside a Medicare Services office in New York City. Reporter Some Medicare recipients are set to experience a new “prior authorization” measure as the Centers for Medicare & Medicaid ...

An insurance company often requires this type of preapproval for certain services, procedures, prescription medications, and medical supplies. Your healthcare team can often help you navigate this ...

Jaclyn Mayo has multiple sclerosis, an autoimmune disease that damages the nervous system and can mess with coordination and balance. To get steadier on her feet, Mayo had been trying to lose weight: ...