Recently, we put together a template to help medical professionals explain a confusing process. Readers gave us very pointed ...
Prior authorization can help encourage the efficient use of health care resources but too often, it delays treatment patients ...
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Understanding Medicare Advantage Prior Authorization
Why Prior Authorization Still Matters When you join a Medicare Advantage plan, your care sometimes requires an extra step ...
GoodRx reports that starting January 2026, original Medicare will require prior authorization for certain services in six ...
New technology and frameworks have helped create new opportunities for hospitals to automate and control previously ...
Cancer patients aren't just battling a deadly disease—part of their time and energy can also be spent fighting the system ...
Original Medicare will launch a multi-state pilot program requiring prior authorization for certain devices, procedures, and ...
Amid Medicare Advantage’s rise, future policy shifts – including faster prior authorization requirements and Medicaid cuts – ...
The Centers for Medicare & Medicaid Services has released an operational guide for Medicare-enrolled providers and suppliers on the Wasteful and Inappropriate Service Reduction model.
HealthDay News — Many people with cancer get directly involved in prior authorization (PA), often facing substantial time burdens, according to a study presented at the 2025 American Society of ...
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 ...
Yet critics warn this will add another layer of bureaucracy for Texans seeking medical care. They also worry that the program ...
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