Major health insurers are advancing efforts to standardize prior authorization requirements as part of an effort to simplify ...

Aligning electronic data submission requirements for prior authorizations is one prong of the insurance industry’s commitment ...

Leading health plans will adopt a standardized approach for providers submitting electronic prior authorization requests for the majority of medical services, which they say will accelerate ...

UnitedHealth Group and CVS Health have standardized data and submission rules for more than half of their prior ...

Bipartisan House bill targets MA prior authorization timelines and denial practices to improve Medicare Advantage patient ...

A new proposed rule from the Centers for Medicare and Medicaid Services would reduce the required response time to Medicare Advantage prior authorization requests for medications to 24 hours and ...

UnitedHealthcare, the nation's largest health insurer, will exempt rural physicians and hospitals from “prior authorization ...

A Surescripts-led pilot has shown that medication prior authorization can be processed in as little as 18 seconds without AI, sharply reducing denials and appeals. The program’s expansion across 20 ...

UnitedHealthcare pares back prior authorizations and speeds payments for 1,500 rural hospitals, expanding nationwide by fall 2024.

Early hospital data highlighted on Capitol Hill suggest that Medicare patients are waiting substantially longer to receive ...

Payer updates and policy changes delay reimbursement; Leaders say automated solutions can help fight back. The tug-of-war between providers and payers over prior authorizations is a consistent and ...