A six-state pilot program will target “wasteful care” under Medicare, Centers for Medicare & Medicaid Services says.

While progress at the federal level is slow, state legislatures are passing bills aimed at improving the prior authorizations process for healthcare providers. State legislatures are taking action to ...

People walk inside a Medicare Services office in New York City. Reporter Some Medicare recipients are set to experience a new “prior authorization” measure as the Centers for Medicare & Medicaid ...

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

Have you ever walked into the pharmacy and been told that your prescription requires a prior authorization? But your healthcare professional prescribed something for you, and you brought in your ...

The back and forth between providers and payers over prior authorization data exchanger is approaching its peak. Here are two programs that, if broadly adopted, could help the two sides work together ...