Prior authorization is a common utilization-management tool among Medicare Advantage plans. However, service-, area-, and carrier-level patterns suggest variation in how plans use prior authorization.

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.

UnitedHealthcare, CVS Health/Aetna, and other major insurers will adopt a standardized set of data submission requirements for common medical services in 2026. The move aims to reduce delays and ...

With CMS expanding its infrastructure for pre-payment review in traditional Medicare, here are five things practice leaders ...

In a recent survey, 84% of providers reported the number of medical services that require prior authorization has increased. And 62% of providers reported that they do not have the technology to ...

Cigna is the latest health insurer to roll back prior authorization requirements, announcing Thursday that it will no longer require the approvals for nearly 25% of medical services. Cigna plans to ...

Prior authorization will become less of a hassle for physicians in Blue Cross Blue Shield of Michigan’s network, BCBSM officials hope, as they roll out an effort to relax about 20% of prior ...

Aug 24 (Reuters) - Health insurer Cigna Group (CI.N), opens new tab said on Thursday it would remove the use of prior authorization or paperwork required to get approval for insurance coverage for 25% ...

Physician and medical student leaders at the Annual Meeting of the American Medical Association House of Delegates have approved policies aimed at fighting for greater insurer accountability and ...

(Reuters) -Humana said on Tuesday it would eliminate about one-third of prior authorizations for outpatient services by next year, the latest insurer to address the tedious paperwork process that has ...

UnitedHealthcare today announced more than half of its prior authorization volume will be included in an industrywide effort to standardize submission requirements for electronic prior authorization, ...