The approach will be used for medical services that are commonly subject to prior authorization, such as orthopedic surgeries ...

Major health insurers are advancing efforts to standardize prior authorization requirements as part of an effort to simplify ...

Prior authorization has become one of the clearest points where administrative complexity directly affects patient care. For ...

Forty-eight insurers, including major players, pledged to reform prior authorization processes to improve patient care access. The initiative includes technology standardization, reducing PA ...

Forbes contributors publish independent expert analyses and insights. Jesse Pines is an expert in healthcare innovation and wellness. Health insurer prior authorization has increased considerably in ...

UnitedHealth and CVS Health have reported significant progress in standardizing prior authorization processes as part of an industry-wide reform pledge. UnitedHealthcare has standardized over half of ...

UnitedHealth and CVS Health have expanded efforts to standardize prior authorization requirements, aiming to simplify and accelerate approvals for medical services. The initiative, part of an industry ...

Does Medicare require prior authorization? Medicare Advantage plans often require prior authorization. But these coverage reviews are rare for original Medicare. That distinction changes in 2026. Many ...

Major insurers have cut 11% of prior authorizations after committing to roll back the controversial processes last year, according to major trade groups. The reduction equates to 6.5 million fewer ...

For the first time, more Medicare enrollees received their Medicare benefits through a Medicare Advantage (MA) plan last year than through Traditional Medicare. We saw first-hand at the Center for ...

Medicare Advantage plans have increased their use of prior authorization and appear to be targeting certain types of care -- such as expensive post-acute hospital care -- for coverage denials, ...

Insurers have eliminated 11% of prior authorization requirements across a range of medical services since June, representing 6.5 million fewer prior authorizations for members, according to an ...