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

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

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

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

Participating payers reported an 11% reduction in prior authorization requirements overall, with Medicare Advantage exceeding ...

The Biden administration released a proposal which, if finalized, would mandate Medicare Advantage (MA), Medicaid managed care, Affordable Care Act (ACA) plans and state Medicaid agencies implement ...

Prior authorization is a process wherein a doctor must get approval from a patient’s health insurer before providing a medical service, like prescribing a drug or performing a surgery. Payers argue ...

CMS has proposed a new rule to extend electronic prior authorization requirements to prescription drugs, aiming to speed approvals, improve transparency, and align standards across programs. The ...

Prior authorization has become one of the clearest points where administrative complexity directly affects patient care. For ...

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

Many states are enacting restrictions on insurers’ prior authorization policies, but these laws may increase costs and lead to other undesirable consequences. Many states have adopted or are ...