Massachusetts regulators would eliminate many prior authorization rules, speed urgent approvals and form a working group to ...

Health plan executives expect AI to automate prior authorizations, improving turnaround times amid CMS regulatory changes, ...

Prior authorizations have long been hated by many, but insurers call them an essential tool they use to control spending.

Governor Maura Healey announced a significant reform to health insurance prior authorization rules aimed at streamlining patient access to health care services, amid ongoing federal funding cuts.

A man with leukemia wrestles with his insurance company for access to medications to manage his excruciating pain. An oncologist is forced to delay needed treatments while arguing for health insurance ...

As health insurers increasingly turn to AI, researchers explore the promise of efficiency—and the risk of amplifying existing ...

Christopher Marks noticed an immediate improvement when his doctor prescribed him the Type 2 diabetes medication Mounjaro last year. The 40-year-old truck driver from Kansas City, Missouri, said his ...

The Connecticut State Medical Society is taking aim at the health insurance industry's practice of prior authorization this legislative session. Prior authorization, also known as "precertification" ...

Governor Kathy Hochul outlined a legislative agenda to lower the cost of living, streamline government bureaucracy, and make ...

Indiana Rep. Tony Isa proposes a bill to ban prior authorization for emergency ambulance services within 12 hours.