Under new state regulations, doctors will no longer need to seek pre-approval from a patient’s health insurer before ...

Massachusetts regulators would eliminate many prior authorization rules, speed urgent approvals and form a working group to ...

Prior authorizations have long been hated by many, but insurers call them an essential tool they use to control spending.

The idea behind it seems reasonable: Insurers want to ensure treatments are medically necessary before they pay for them. But ...

GoodRx reports five major changes to Medicare in 2026, including a $2,100 Part D out-of-pocket limit, prior authorization for ...

The House Banking and Insurance Committee advanced a bill on Wednesday, Jan. 14 that would allow certain health care ...

Powered by Phare Access – the smart patient access hub of R1’s Phare Operating System – R1 Prior Authorization manages the ...

Health plan executives expect AI to automate prior authorizations, improving turnaround times amid CMS regulatory changes, Deloitte finds.

Insurers have been canceling Medicare Advantage programs for years. Fresno Unified isn't alone in the fight between payers ...

R1 RCM has launched a new tool designed to automate and streamline the prior authorization process at scale. The tool, called R1 Prior Authorization, manages the full authorization lifecycle through a ...

There is a good reason for health insurers to occasionally require prior authorization for medical treatment. If a doctor ...

A new survey of physicians finds they are still facing burdens meeting prior authorization requirements despite a voluntary 2018 agreement among payer groups to reform the practice. The survey was ...