WASHINGTON -- Physician groups are hoping Medicare will change its mind about implementing new prior authorization requirements for two outpatient spinal procedures beginning July 1. In a final rule ...

The healthcare industry is on the brink of a transformative shift in the way prior authorizations are managed. Traditionally, prior authorizations have relied heavily on an attestation model, where ...

UnitedHealthcare said on Tuesday it is eliminating "prior authorization" requirements for 30% of medical services that previously required insurer approval, a policy shift that could eliminate red ...

As a surgeon and leader at Rothman Orthopaedics, I have spent years studying the real-world failures of prior authorization. This expertise didn’t prepare me for the recent experience of dealing with ...

UnitedHealth has rescinded a plan to require prior authorization for colonoscopies and other endoscopic procedures, following backlash from physician groups. UnitedHealth, which operates the biggest ...

Doctors and patients complain that the controversial practice of prior authorization for treatment and procedures is still ...

Many health systems and patients have struggled with prior authorization procedures. Prior authorization practices are staying in the spotlight. Health systems are looking for payers to do more to ...

1. In March, insurer UnitedHealthcare announced changes to its prior authorization rules for certain GI procedures that were set to go into effect June 1. The night before changes were supposed to ...

Congressional Democrats are mounting a fresh effort to end a Medicare experiment to use AI to approve or deny care.

There is an alarming trend in the U.S. commercial health-care ecosystem that is leading to countless insured Americans suffering needlessly, and it is time for Congress and other policy makers to take ...