Behemoth health insurers claim this time-wasting practice improves care and saves everyone money. Look beyond the myths and find out the facts.

Legislation focused on prior authorization reforms is headed to the governor after Senate lawmakers approved changes to the ...

Will artificial intelligence finally streamline the cumbersome prior authorization process — or just add a new layer of ...

CMS Rule 0057 requires health plans to develop and support FHIR-based APIs to enable electronic prior authorization (ePA). Whether return on this investment stops at ...

While the final rule solidifies several changes — including measures to streamline prior authorization, tighten oversight of supplemental benefits and codify provisions from the Inflation ...

This story also ran on CBS News. It can be republished for free. Do you have experience with prior authorization you’d like to share with us for KFF Health News’ reporting? Tell us here. Sometimes, as ...

CMS finalized a key provision that holds Medicare Advantage insurers responsible for paying inpatient hospital admissions claims previously approved through the prior authorization process.

New UB employees should use this form to request reimbursement for approved expenses when transporting themselves, their families, and household goods and personal effects to their new place of ...

Experts discuss effective strategies for navigating the prior authorization process to ensure timely access to third-line therapies for metastatic colorectal cancer (mCRC) and share any success ...

Prior authorization has become a pain point for patients and doctors. This is a KFF Health News story. Sheldon Ekirch spends a lot of time on hold with her health insurance company. Sometimes ...

For patient advocates and health economists, cases like Ekirch's illustrate why prior authorization has become such a chronic pain point for patients and doctors. For 50 years, insurers have ...