Leading health plans will adopt a standardized approach for providers submitting electronic prior authorization requests for the majority of medical services, which they say will accelerate ...
Aligning electronic data submission requirements for prior authorizations is one prong of the insurance industry’s commitment ...
Major health insurers are advancing efforts to standardize prior authorization requirements as part of an effort to simplify ...
UnitedHealth Group and CVS Health have standardized data and submission rules for more than half of their prior ...
The approach will be used for medical services that are commonly subject to prior authorization, such as orthopedic surgeries ...
A new proposed rule from the Centers for Medicare and Medicaid Services would reduce the required response time to Medicare Advantage prior authorization requests for medications to 24 hours and ...
UnitedHealthcare announced it will include over 70% of its prior authorization volume in a new standardized electronic submission process by the end of 2026. The initiative, spanning commercial, ...
Participating payers reported an 11% reduction in prior authorization requirements overall, with Medicare Advantage exceeding ...
With CMS expanding its infrastructure for pre-payment review in traditional Medicare, here are five things practice leaders ...
Bipartisan House bill targets MA prior authorization timelines and denial practices to improve Medicare Advantage patient ...
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Untangling the maze of prior authorization delays
Prior authorization can feel like an exhausting obstacle between you and the care your doctor recommends. With new CMS rules in 2026 aiming to speed up and digitize the process, patients and providers ...
Prior authorization forces doctors to spend 13 hours a week fighting insurers. New federal rules are changing that. Here's what you need to know.
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