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

I recently had the good fortune to spend many hours on the phone with our family’s health insurance provider. I know what you ...

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

Digital and privacy rights nonprofit Electronic Frontier Foundation is suing the Centers for Medicare & Medicaid Services ...

Chelsea Cirruzzo is a Washington correspondent at STAT, where she covers HHS. You can reach Chelsea on Signal at chelseacirruzzo.42. WASHINGTON — A top U.S. health official told a room full of doctors ...

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 ...

Prior authorization is a major noncost barrier, affecting 69% of insured adults, with 34% citing it as their biggest challenge. Delays and denials from prior authorizations significantly impact mental ...

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 ...