Many in the MAGA movement are in a state of anger and disbelief over the Justice Department and FBI’s memo disclosing that ...

HHS has secured a pledge from insurers to streamline the companies’ practice of requiring prior authorizations before ...

The Centers for Medicare and Medicaid Services (CMS) will implement prior authorization requirements for certain traditional ...

Alex Morgan, one of the best women's soccer players in U.S. history, announced her retirement from the game last fall. “I’m ...

Hari Prasad, CEO of Yosi Health, said in an interview with MHE that AI can reduce administrative delays in prior ...

In this part three interview of a video series, Hari Prasad, CEO of Yosi Health, told Managed Healthcare Executive editors that cutting administrative burdens through digitized prior authorizations ...

The Centers for Medicare & Medicaid Services (CMS) rolled out an Innovation Center model Friday to test new prior ...

Health insurers issue millions of denials every year, leaving many patients stuck in a convoluted appeals process, with ...

In a recent joint statement, HHS Secretary Robert F. Kennedy, Jr., and CMS Administrator Mehmet Oz, MD, announced health insurers have pledged to voluntarily streamline and reduce prior authorization ...

Insurers said Monday that they will standardize electronic prior authorization by the end of next year to help speed up the process. They will reduce the scope of claims subject to medical prior ...

A new CMS model will introduce new prior authorization requirements to traditional Medicare in six states, raising provider concerns about administrative burden.

In 2026, the Centers for Medicaid and Medicare Services will implement a prior authorization for certain services covered under Medicaid in Oklahoma, Ohio, Texas, Arizona, New Jersey, and ...