A bill intent on reforming the pre-authorization process in Delaware passed both chambers and is now under consideration from Gov. Meyer.

America’s Health Insurance Plans (AHIP)—a trade group representing the U.S. health insurance industry—announced a commitment from participating plansto improve prior authorization processes. The ...

You must complete the Medicare Redetermination Request form if you’re appealing a claim denial by Medicare for the first time. This leads to the first phase of the Medicare appeals process.

In this week’s edition of InnovationRx, we look at health insurers' vows to improve prior authorization, Bell Labs’ IP commercialization, a new healthcare billionaire, a robot performing ...

WASHINGTON – In a landmark move to improve health care access and reduce administrative burdens, major U.S. health insurers have pledged six key reforms to prior authorization processes across ...

Dr. Oz pledges to 'trust but verify' health insurers' move to improve prior authorizations The new Centers for Medicare and Medicaid Services head did not talk about new defenses against ...

In recent years, health insurers ramped up the practice of requiring doctors to get their approval before tests and procedures. On Monday, health leaders announced voluntary reforms from insurers.

More than 50 insurers have pledged to streamline and simplify the prior authorization process through six new commitments.

Top officials in the Department of Health and Human Services (HHS) are touting a multipronged effort from major payers to reform the oft-criticized prior authorization process. | Top HHS officials ...

Health insurers promise RFK Jr. they'll fix prior authorization problems This time, the situation will really get better, according to America's Health Insurance Plans, the Blue Cross and Blue ...

The pledge includes health insurers working to develop standardized data and submission requirements for electronic prior authorization by January 1, 2027.