Standing Policies Help Alleviate Administrative Burdens for More Than One Million Health Plan Members SAN DIEGO, April 14, 2026 /PRNewswire/ -- As part of an AHIP announcement April 7 outlining ...

Prior authorization forces doctors to spend 13 hours a week fighting insurers. New federal rules are changing that—here's what you need to know.

Urgent requests would require an answer in 24 hours, and standard requests in 72 hours ...

CMS has proposed extending its prior authorization interoperability framework to cover drugs for the first time, building on its 2024 rule that focused on medical items and services. The proposed rule ...

US health insurers are advancing toward real-time prior authorization decisions by 2027 after reducing request volumes by 11%, eliminating 6.5 million transactions in 10 months. Insurers are working ...

But making sense of the numbers isn't easy, experts say ...

Insurers have cut prior auth requirements by 11%, reducing 6.5 million authorizations and easing access across Medicare Advantage and commercial plans.

Digital and privacy rights nonprofit Electronic Frontier Foundation is suing the Centers for Medicare & Medicaid Services ...

The Centers for Medicare & Medicaid Services April 10 released a proposed rule that would establish electronic standards for ...

A 2024 CMS rule now requires payers, including Medicare Advantage plans, Medicaid, CHIP and ACA exchange carriers, to publicly report prior authorization metrics for the first time. The public ...

The impact of using AI to evaluate these prior authorizations is unclear. AI could allow tech companies to automatically approve more cases, which could speed up decisions. However, companies could ...

Last summer, the insurance industry broadly agreed to reform a major healthcare pain point: prior authorization. | Last ...