For UnitedHealthcare Medicare Advantage plans, only 2.5% of claims require prior authorization, excluding certain requests, ...

Collaboration delivers scalable infrastructure to help payers and providers prepare for new federal interoperability ...

Payers prior authorization denial rates must be publicly reported starting March 31, 2026, improving transparency for Medicare Advantage and ...

LAS VEGAS – Ten percent of payers and 33% of providers have not yet started work on Prior Authorization Application Program Interface requirements, according to survey results released by the ...

CLEVELAND, Ohio — Prior authorization is the top challenge that Americans have when navigating the health care system, according to a new KFF poll. About 32% of those polled said prior authorization ...

Semaglutide (GLP-1) drugs like Ozempic are designed to treat type 2 diabetes, but are widely known for their effect on weight loss. Credit: Shahrzad Rasekh / CT Mirror Groups representing low-income ...

R1 RCM has launched a new tool designed to automate and streamline the prior authorization process at scale. The tool, called R1 Prior Authorization, manages the full authorization lifecycle through a ...

Health insurance companies increasingly require medical providers to obtain approval before delivering the costliest forms of treatment to patients. This has helped curb wasteful expenditure but also ...

Massachusetts insurance regulators unveiled sweeping prior authorization reforms that would scrap pre-approval requirements for "many routine and essential" health care services, Gov. Maura Healey ...

A year ago, the fatal shooting of a health insurance executive on a Manhattan sidewalk unleashed many Americans’ pent-up frustration with insurers’ delays and denials of care. UnitedHealthcare CEO ...

At least 18 states took action on health insurers’ use of prior authorization this year, a sign that lawmakers aren’t content to wait on federal regulators to step in on a key consumer and provider ...