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 ...

The Centers for Medicare & Medicaid Services has proposed a 2026 rule to modernize and speed up prior authorization for drugs across federal programs. The plan would mandate electronic processing, set ...

UnitedHealthcare’s $80 billion commercial business is planning more prior authorization rollbacks and wants to be seen as a better partner to the health systems it negotiates with, the unit’s CEO and ...

New legislation aims to make post-acute care services more accessible and streamline prior authorization approval in Medicare ...

The CMS 2026 Prior Authorization Rule, effective January 2026, mandates payers in Medicare Advantage, Medicaid, CHIP, and ACA markets to adopt FHIR-based APIs, electronic prior authorization, and ...

Availity ®, the nation’s largest health information network, today released its first annual Availity Abrasion Index, a research-informed report that measures where administrative friction between ...

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

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

UnitedHealthcare will exempt some rural medical providers from most medical prior authorization requirements as part of a push to lower costs and improve care in rural areas. The health insurance ...

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 ...

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 ...