MedPage Today on MSN

Insurers release prior authorization denial rates

But making sense of the numbers isn't easy, experts say ...
MedPage Today on MSN

What to expect for prior authorization in 2026

Each prior auth transaction costs practices between $20 and $30 ...

Tech nonprofit sues CMS over Medicare AI prior authorization pilot

The Electronic Frontier Foundation is seeking more information on the government’s agreements with participating vendors, ...

After man's death following insurance denials, West Virginia tackles prior authorization

Six months after Eric Tennant died following a protracted battle with his health insurer over doctor-recommended cancer care, ...
Fierce Healthcare

CMS proposes certain payers implement electronic prior authorization systems by 2026

The Biden administration released a proposal which, if finalized, would mandate Medicare Advantage (MA), Medicaid managed care, Affordable Care Act (ACA) plans and state Medicaid agencies implement ...
The American Journal of Managed Care

West Virginia Changes Prior Authorization Law After Man's Treatment Delay and Death

HB 4965 permits switching to an alternative medically appropriate treatment of equal or lesser value after initial approval, ...
Fierce Healthcare

Nonprofit Electronic Frontier Foundation sues CMS over AI prior authorization demonstration

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

Do You Know If Your Medicare Advantage Plan Requires Prior Authorization?

Forbes contributors publish independent expert analyses and insights. Diane Omdahl is a Medicare expert who keeps her readers in the know. My 90-year-old uncle, a retired county employee, has had a ...