Gov. Jared Polis ordered the Colorado Department of Health Care Policy and Financing to reinstate prior authorization for ...

While the use of AI in health insurance isn’t new, Medicare has been slow to adopt the private-sector tools. Medicare has historically used prior authorization in a limited way, with contractors who ...

Prior authorizations are required by insurance companies for some medications. This includes those that may have less expensive alternatives. The prior authorization process can take anywhere from a ...

AHA supports the Administrations role in facilitating the health insurer pledge to reform prior authorization processes announced on June 23.

Insurance companies continue to innovate. On Oct. 1, Cigna will roll out a policy that tracks how physicians bill. It will ...

A CMS pilot program that would add prior authorization for some traditional fee-for-service Medicare services has come under increased scrutiny by ...

The AHA Sept. 29 sent recommendations to the Department of Health and Human Services and the Centers for Medicare & Medicaid Services to help ensure insurance plans adhere to the agencies’ health ...

The federal government will test a new model for the often maligned prior authorization process in Washington, other states ...

Trump launches Medicare AI prior authorization pilot to deny care while criticizing private insurers for same tactics ...

The Hawaii Supreme Court has cleared the way for customers of the state’s largest health insurance company to sue over ...

Medicare beneficiaries face higher premiums and deductibles, reduced services, and possible cuts to the program at large—but ...

Taking a page from the private insurance industry’s playbook, Medicare will launch an AI program for prior authorizations.