Prior authorization has become one of the clearest points where administrative complexity directly affects patient care. For ...

Derived from real-world prior authorization activity across tens of thousands of specialty practices who use SamaCare, the ...

AI agent answered 163 payer questions autonomously in a single submission; platform enables patients to start complex therapies in as few as 48 hours BOSTON, April 21, 2026 /PRNewswire/ -- ...

Major health insurers are advancing efforts to standardize prior authorization requirements as part of an effort to simplify ...

On April 14, 2026, the Centers for Medicare and Medicaid Services (“CMS”) published a proposed rule that would require faster ...

Prior authorization requirements cost the U.S. healthcare system an estimated $35 billion each year, and their overuse has triggered a backlash, stirring some policymakers into action. Whether these ...

The Centers for Medicare & Medicaid Services has proposed expanding its electronic prior authorization interoperability framework to include drugs, building on earlier rules for medical items and ...

For many in long-term care, Monday’s announcement about voluntary prior authorization reforms reeks of unpleasant déjà vu. That’s because they’ve been denied before. In 2018, several major insurers ...

To combat growing criticism of prior authorization delays by payers, Centers for Medicare & Medicaid Services finalized a rule Wednesday that requires health plans to send prior authorization ...

Does Medicare require prior authorization? Medicare Advantage plans often require prior authorization. But these coverage reviews are rare for original Medicare. That distinction changes in 2026. Many ...