By Amina Niasse NEW YORK, July 15 (Reuters) - Less burdensome prior authorization procedures in which clinicians must have ...

Add Yahoo as a preferred source to see more of our stories on Google. In June of this year, CMS announced that it would be launching the Wasteful and Inappropriate Service Reduction (WISeR) Model, ...

Health insurers have spent the past year touting how they've cut pre-treatment review claims, but new data suggests that hasn ...

In an effort to reduce wasteful spending, the government is piloting a program that uses AI for insurance-coverage decisions.

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 ...

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 ...

Senate Republicans blocked an attempt by Democrats on Thursday to stop a Trump administration pilot program for Medicare that ...

The Centers for Medicare & Medicaid Services (CMS) has been using prior authorization for selected Hospital Outpatient Department (OPD) services for several years as part of its broader effort to curb ...

The American Hospital Association has sent a letter to the Centers for Medicare and Medicaid Services requesting that the latter revise proposed regulations regarding prior authorizations, citing ...

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 ...

A bill to exempt health-care providers who have 90% or more of their claims approved from health-insurance companies' requirements for prior authorization of certain treatments has failed again.

A new pilot program bringing prior authorization, including using AI to review requests for care, to parts of traditional Medicare is off to a shaky start.