Why Prior Authorization Still Matters When you join a Medicare Advantage plan, your care sometimes requires an extra step ...

Recently, we put together a template to help medical professionals explain a confusing process. Readers gave us very pointed ...

AHA pushes CMS delay on Medicare prior authorization pilot set for Jan. 1, 2026, urging changes to reduce provider burden and improve oversight.

Does Medicare require prior authorization? Medicare Advantage plans often require prior authorization. But these coverage reviews are rare for original Medicare. That distinction changes in 2026. Many ...

An insurance company often requires this type of preapproval for certain services, procedures, prescription medications, and medical supplies. Your healthcare team can often help you navigate this ...

A CMS pilot program that would add prior authorization for some traditional fee-for-service Medicare services has come under increased scrutiny by some members of Congress, including a call to pause ...

Half of cancer patients who needed prior insurance authorization for their care had to directly involve themselves in the ...

Providers are betting on artificial intelligence to ease the pain point of prior authorization, a new survey shows. Cohere Health, which provides clinical intelligence to insurers and risk-bearing ...

Ambient listening collaboration with Microsoft Dragon Copilot will give clinicians transparency and guidance for real-time ...

A new pilot program called WISeR is being rolled out in six states to give AI a role in determining Medicare coverage ...

(HealthDay News) — Many people with cancer get directly involved in prior authorization (PA), often facing substantial time burdens, according to a study presented at the 2025 American Society of ...

GoodRx reports that starting January 2026, original Medicare will require prior authorization for certain services in six ...