The Centers for Medicare and Medicaid Services (CMS) is adding electronic prior authorization to the Health Tech Ecosystem, ...
The proposed rule aims to improve prior authorization for prescription drugs by establishing and requiring electronic prior ...
The planned cuts come as payers face ongoing pressure to reduce prior authorization use. For example, a recent initiative led ...
Major policy shift: UnitedHealthcare will drop prior authorization for 30% of currently restricted services, including some surgeries, diagnostic tests, and therapies. Industry-wide reform: The change ...
Prior authorization is the process by which your doctor must request approval from your Medicare plan before they can order a particular medication or medical service. Generally, Original Medicare ...
UnitedHealthcare plans to eliminate prior authorization requirements for 30% of services by the end of 2026.
With denial rates at 4 percent in 2025, the Dallas-based, tech-forward insurer is outperforming national averages.
Forbes contributors publish independent expert analyses and insights. Jesse Pines is an expert in healthcare innovation and wellness. This voice experience is generated by AI. Learn more. This voice ...
Andrew Mellin, M.D., discusses Surescripts’ pilot program for prior authorization system, which pulls clinical data from EHRs ...
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Major insurer cuts red tape: UnitedHealthcare to eliminate prior authorization for dozens of procedures
UnitedHealthcare announces it will eliminate prior authorization requirements for 30% of services, speeding up patient care.
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