A new pilot program bringing prior authorization, including using AI to review requests for care, to parts of traditional ...

Artificial intelligence will soon play a role in whether Medicare will pay for Ohioans' pain relief therapy and skin substitute bandages. Ohio is one of six states selected by President Donald Trump's ...

Physician groups are urging the Trump administration to give them more information on insurance companies’ pledges to change ...

Over years of working on prior authorization, both at the state level and alongside colleagues across the country, I've seen ...

When Matt Conway tore his bicep delivering a table recently, there were numerous barriers to getting it fixed. First, “a ...

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 ...

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 ...

(L-R) White House AI and Crypto Czar David Sacks, Secretary of Health and Human Services Robert F. Kennedy Jr., President Donald Trump, Centers for Medicare and Medicaid Services Administrator Mehmet ...

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 ...

Dear Editor, The recent commentary in VTDigger regarding prior authorization was spot on. Prior authorizations are indeed ...