A six-state pilot program will target “wasteful care” under Medicare, Centers for Medicare & Medicaid Services says.

Strengthen your financial backup. Even with Medicare coverage, unexpected out-of-pocket expenses can pop up. Earn as much as ...

Medicare is launching a new pilot program that will require prior approval for 17 health services using artificial ...

Health insurance companies are expected to hold to their promises in 2026 to “streamline, simplify and reduce” prior ...

In October, CMS announced the launch of a new prior authorization demonstration that would introduce new requirements for select services. This comes just four months after news of an agreement ...

The program was first announced in June by Health and Human Services Secretary Robert F. Kennedy Jr. and Dr. Mehmet Oz, ...

As the year comes to a close, the Trump administration seems to be going in two different directions when it comes to the use ...

Have you ever walked into the pharmacy and been told that your prescription requires a prior authorization? But your healthcare professional prescribed something for you, and you brought in your ...

More than 50 major insurers have pledged to streamline prior authorization starting in 2026, but providers remain cautiously optimistic and skeptical that the changes will truly reduce burden or ...

Several major health systems are dropping Medicare Advantage plans in the new year. The hospitals are ending their acceptance ...

Prior authorizations are required by insurance companies for some medications. This includes those that may have less expensive alternatives. The prior authorization process can take anywhere from a ...