News

Highmark joins major insurers in prior authorization reform
Highmark is among the more than 50 health insurers who pledged Monday to speed up and slim down prior authorization, the ...
Healthcare Dive5d
CMMI to add prior authorization for some Medicare services
Beginning next year, the CMS will launch an AI-powered prior authorization process for some services as it seeks to cut ...
Medscape11d
Insurers’ New Prior Authorization Pledge Draws Skepticism
Send comments and news tips to [email protected]. Cite this: Short on Specifics, Insurers’ New Prior Authorization Pledge Draws Skepticism - Medscape - June 25, 2025.
Becker's Hospital Review6d
CMS to add prior authorization for traditional Medicare services
CMS has unveiled the Wasteful and Inappropriate Service Reduction model, a new Innovation Center initiative that will add prior authorization for some traditional fee-for-service Medicare services.
Rheumatology Advisor3d
Health Insurers Have Promised Prior Authorization Reform, HHS Says
Health insurance companies have pledged to improve prior authorization with 6 key reforms, according to the HHS.
Fierce Healthcare12d
Oz, RFK Jr. tout insurers' pledge to ease prior authorization
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. Mehmet Oz, M.D ...
Becker's ASC2d
CMS adds prior authorization for spine, pain management Medicare services: What ASCs need to know
CMS is adding prior authorization requirements for certain fee-for-service procedures under traditional Medicare as part of its new Wasteful and Inappropriate Service Reduction model. A total of 17 ...
Los Angeles Times8d
5 takeaways from health insurers’ new pledge to improve prior authorization
Prior authorization isn’t going anywhere. Health insurers will still be allowed to deny doctor-recommended care, which is arguably the biggest criticism that patients and providers level against ...
Insurancenewsnet.com11d
Health insurers tell HHS, CMS they’ll fix prior authorization system
Expanding Real-Time Responses. In 2027, at least 80 percent of electronic prior authorization approvals (with all needed clinical documentation) will be answered in real-time.