UnitedHealthcare announced it will include over 70% of its prior authorization volume in a new standardized electronic submission process by the end of 2026. The initiative, spanning commercial, ...

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 ...

Several provider groups pressed Medicare officials Tuesday to install several proposed reforms to prior authorization, including mandating an electronic process for plans to approve requests.

Payers and providers came out in support of a new rule from the CMS proposing requirements on certain health insurers in a bid to improve the prior authorization process, though provider groups say ...

This story was originally published on Healthcare Dive. To receive daily news and insights, subscribe to our free daily Healthcare Dive newsletter. The CMS will soon make it more difficult for ...

I mean, we have patients to see, folks! No one, and I mean no one, has time for that. Well, some good news for all of you in the industry secondary to part of the Biden-Harris administration’s ongoing ...

Prior authorization — the insurer’s green light for certain treatments or medications — is about to get faster, more transparent, and more digital. Starting in 2026, new CMS rules will require ...

ORLANDO -- The healthcare industry hasn't eliminated the hassles for providers that prior authorization often entails, but they're getting closer, several speakers said here at Healthcare Information ...

Providers, health plans and vendors represented by the nonprofit organization CAQH voted to set a two-day limit on prior authorization requests, the group said Feb. 4. Prior authorization comes at a ...