Prior authorization forces doctors to spend 13 hours a week fighting insurers. New federal rules are changing that. Here's what you need to know.
Add Yahoo as a preferred source to see more of our stories on Google. The 2025 session will have few new dollars not swallowed up by Medicaid, limiting options for lawmakers to address health concerns ...
The Centers for Medicare & Medicaid Services has proposed extending 2024’s electronic prior authorization rules to include prescription drugs, aiming for faster, more transparent decisions. The rule ...
UnitedHealth Group and CVS Health have standardized data and submission rules for more than half of their prior ...
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 ...
The approach will be used for medical services that are commonly subject to prior authorization, such as orthopedic surgeries ...
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Mastering prior authorization in 2026 healthcare
Prior authorization rules are tightening in 2026, with faster decision timelines and new transparency requirements reshaping how providers handle approvals. From Texas Medicaid’s 7-day rule to ...
Therapists treating Medicaid enrollees in Colorado will have to get the state’s authorization to conduct more than 24 sessions with an individual patient in a year, as the department overseeing the ...
A revenue report from mid-December determined that incoming monies would be sluggish over the next two years, with barely any new dollars expected to hit Indiana’s coffers. Much of that funding will ...
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