The Centers for Medicare & Medicaid Services (CMS) has proposed extending electronic prior authorization to prescription drugs, setting 24-hour deadlines for urgent cases and 72 hours for standard ...

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 ...

UnitedHealthcare pares back prior authorizations and speeds payments for 1,500 rural hospitals, expanding nationwide by fall 2024.

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/ -- ...

CMS Deputy Administrator and Director of Medicare Chris Klomp and Deputy Administrator and Chief of Staff Stephanie Carlton talked with AHA Board Chair Marc Boom, M.D., president and CEO, Houston ...

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 ...

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 ...

When Ocean McIntyre started having vision problems at age 34, her health plan took a month to authorize a doctor visit. When pressure in her brain started crushing her optic nerve, she spent three ...

This article highlights challenges in prior authorization and offers practical, experience-based strategies to streamline workflows, reduce delays, and improve patient access to necessary treatments.

The Federal Trade Commission has announced what it called a "landmark settlement" with Express Scripts over insulin pricing. The settlement resolves a lawsuit alleging that Express Scripts' conduct ...