A six-state pilot program will target “wasteful care” under Medicare, Centers for Medicare & Medicaid Services says.

On January 1, impacted payers will have limited time to respond to prior authorization requests, as mandated in the ...

Strengthen your financial backup. Even with Medicare coverage, unexpected out-of-pocket expenses can pop up. Earn as much as ...

A look at the rise of prior authorization certified specialists (PACS)—and their value in improving patient access and outcomes. The healthcare industry constantly grapples with the challenge of ...

announced today that , the leading physician-owned health plan in South Dakota, has implemented RxEOB’s pharmacy prior authorization automation technology for use by its network of physicians who ...

More than 50 major insurers have pledged to streamline prior authorization starting in 2026, but providers remain cautiously optimistic and skeptical that the changes will truly reduce burden or ...

As the year comes to a close, the Trump administration seems to be going in two different directions when it comes to the use ...

An insurance company often requires this type of preapproval for certain services, procedures, prescription medications, and medical supplies. Your healthcare team can often help you navigate this ...

Sometimes certain types of specialty care and prescription drugs require special review called prior authorization to make sure they are right for the patient. Prior authorization is a standard ...

The start of the legislative session is just around the corner. Beginning in December, the Missouri Senate allows senators 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 ...