Recently, we put together a template to help medical professionals explain a confusing process. Readers gave us very pointed ...

GoodRx reports that starting January 2026, original Medicare will require prior authorization for certain services in six ...

Therapists treating Medicaid enrollees in Colorado will have to get the state’s authorization to conduct more than 24 sessions with an individual patient in a year, as the department overseeing the ...

The new CMS regulations on prior authorization have been heralded as a big step forward in reducing administrative burdens on physicians, but some people think it doesn't go far enough. The CMS ...

Health plans change every year, so experts say it's important to take stock during the renewal process and not to assume ...

How smarter, EMR-integrated ePA eliminates noise, speeds resolution, and sets the stage for touchless prior authorization.

The marketing landscape in Medicare Advantage (MA) is facing a reckoning. If you're leading an agency, the message is clear: ...

Providers are betting on artificial intelligence to ease the pain point of prior authorization, a new survey shows. Cohere Health, which provides clinical intelligence to insurers and risk-bearing ...

Medicare beneficiaries have a wide selection of Medicare Advantage plans to choose from, but the quality and coverage can vary significantly. In 2026, 97% of beneficiaries will have 10 or ...

Leaders say the next five years will bring a sharper, smarter ASC industry, one that is more data-driven, integrated and patient-focused. Six ASC leaders joined Becker’s to discuss how they see the ...