Lawmakers on Thursday explored the merits of a bill that would block the Centers for Medicare & Medicaid Services (CMS) from ...

Strengthen your financial backup. Even with Medicare coverage, unexpected out-of-pocket expenses can pop up. Earn as much as ...

A six-state pilot program will target “wasteful care” under Medicare, Centers for Medicare & Medicaid Services says.

Health insurance companies are expected to hold to their promises in 2026 to “streamline, simplify and reduce” prior ...

Ahead of HIMSS26, Sairohith Thummarakoti of Texas A&M University–Kingsville previews his talk on how agentic AI and low-code ...

The requirements will make exchanging health data more efficient and reduce administrative burden. Today CMS finalized the Interoperability and Prior Authorization Final Rule, continuing its efforts ...

Beginning Jan. 1, 2026, 17 medical procedures will require prior authorization for patients under the traditional Medicare ...

Prior authorization has been a continual source of frustration for providers, and Wednesday UnitedHealthcare, the country's largest insurer, said it will offer some relief. The payer giant will cut ...

Initially meant to protect patients from unnecessary procedures, prior authorizations have shifted towards being a cost containment strategy for health payers. This shift is causing significant ...

MINNEAPOLIS, MN, UNITED STATES, January 8, 2026 /EINPresswire.com/ -- Itiliti Health, a leader in prior authorization ...

Prior authorization is overused, and existing processes present significant administrative and clinical concerns. That is why the AMA is fixing prior authorization by challenging insurance companies ...

It's no secret that burnout is a struggle across the healthcare industry, and the complex, time-consuming prior authorization process is one contributor. In fact, the U.S. Surgeon General addressed ...