The Centers for Medicare and Medicaid Services (CMS) will implement prior authorization requirements for certain traditional ...

OKLAHOMA CITY (KFOR) — The Centers for Medicare and Medicaid Services will be implementing prior authorization requirements ...

In 2026, the Centers for Medicaid and Medicare Services will implement a prior authorization for certain services covered ...

The reintroduction of the "Improving Seniors' Timely Access to Care Act" marks a critical step toward modernizing the prior authorization process within Medicare Advantage plans. So, what does ...

The Centers for Medicare & Medicaid Services released the final 2024 MA and Part D rule that introduces key policy changes. In addition to prior authorization, the rule includes changes for star ...

UnitedHealthcare, Blue Cross Blue Shield and other health insurers plan fixes to prioer authorization, a common source of consumer complaints.

Starting in 2026, a proposed CMS rule would require plans to respond to a standard request within seven days, typically, instead of the current 14, and within 72 hours for urgent requests.

CMS on Dec. 10 unveiled its plan to require payers—including Medicaid, ... interfaces to support data exchange and prior authorization. It said the changes would allow providers to know in ...

Prior authorization is the process through which a doctor seeks approval from a person’s health insurance plan before ordering a specific medication or medical service. Original Medicare (parts ...

A new bill would change Medicare Advantage for seniors, and many might benefit from faster prior authorization times.. A bipartisan group of senators proposed the Improving Seniors' Timely Access ...