The Centers for Medicare and Medicaid Services (CMS) will implement prior authorization requirements for certain traditional ...

In 2026, the Centers for Medicaid and Medicare Services will implement a prior authorization for certain services covered ...

A new CMS model will introduce new prior authorization requirements to traditional Medicare in six states, raising provider concerns about administrative burden.

OKLAHOMA CITY (KFOR) — The Centers for Medicare and Medicaid Services will be implementing prior authorization requirements ...

In an interview with Managed Healthcare Executive, Yosi Health CEO Hari Prasad praised insurers' new voluntary pledge to simplify prior authorization, calling it a key step toward faster care and ...

The Centers for Medicare & Medicaid Services (CMS) rolled out an Innovation Center model Friday to test new prior ...

The model will leverage AI and machine learning for prior authorization of services vulnerable to fraud or inappropriate use, ...

Sundar Subramanian, a partner at PricewaterhouseCoopers (PwC) consulting affiliate Strategy&, has joined population health ...

Skeptics note that efforts to streamline the much-despised prior authorization system have failed twice before.

CMS will implement prior authorization requirements for certain traditional fee-for-service Medicare services in six states starting next year. New Jersey, Ohio, Oklahoma, Texas, Arizona, and ...