UnitedHealthcare, the nation's largest health insurer, will exempt rural physicians and hospitals from “prior authorization ...

Prior authorization forces doctors to spend 13 hours a week fighting insurers. New federal rules are changing that. Here's ...

Cigna is eliminating prior authorization requirements from 600 diagnostic codes in a bid to streamline the experience for both members and providers. The 600 codes represent nearly 25% of those that ...

Highmark Health has partnered with healthcare AI company Abridge to roll out its ambient clinical documentation platform and co-develop a prior authorization solution, the companies announced Tuesday.

Prior authorization was rated a major burden by 32% of insured adults and the single greatest barrier by 34%, surpassing ...

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 ...

Major health insurance providers have agreed to reduce the need for prior authorization — the requirement that patients must get approval from insurers before receiving certain treatments or risk ...

A 2024 CMS rule now requires payers, including Medicare Advantage plans, Medicaid, CHIP and ACA exchange carriers, to publicly report prior authorization metrics for the first time. The public ...

When Ocean McIntyre started having vision problems at age 34, her health plan took a month to authorize a doctor visit. When pressure in her brain started crushing her optic nerve, she spent three ...

Cigna is the latest health insurer to roll back prior authorization requirements, announcing Thursday that it will no longer require the approvals for nearly 25% of medical services. Cigna plans to ...

"There are some things I know are going to be universally difficult -- I know I can't order an MRI on anyone without a prior ...

A screen displays the logo and trading information for Humana on the floor of the NYSE in New York (Reuters) -Humana said on Tuesday it would eliminate about one-third of prior authorizations for ...