The Centers for Medicare & Medicaid Services (CMS) has been using prior authorization for selected Hospital Outpatient Department (OPD) services ...

While the cost of health care remains the dominant worry among Americans, the process of obtaining prior authorization from ...

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 ...

Trina Paul is a Breaking News and Personal Finance Writer at Investopedia, covering topics like retirement, consumer debt, and retail investing. She focuses on making complex financial topics ...

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

Artificial intelligence will soon play a role in whether Medicare will pay for Ohioans' pain relief therapy and skin substitute bandages. Starting Jan. 1, technology will determine whether Medicare ...

CVS Health (CVS) on Thursday announced that it plans to make a large portion of its prior authorization procedures consistent with cross-payer clinical and technology standards. Therefore, the company ...

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 ...

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 federal government has begun using artificial intelligence to review whether certain treatments are necessary for ...

The impact of using AI to evaluate these prior authorizations is unclear. AI could allow tech companies to automatically ...