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 ...

Medicare recipients now face new hurdles in getting their care covered -- but only in a few states.

"Medically necessary" is often a four-letter word for patients.

New effort will expedite approvals, promote access to care, reduce administrative burdens, and enhance the patient experience LOUISVILLE, Ky.--(BUSINESS WIRE)-- Humana Inc. (HUM), a leading health and ...

Massachusetts regulators would eliminate many prior authorization rules, speed urgent approvals and form a working group to ...

In a pilot program set to begin in 2026, CMS will test new prior authorization requirements for 17 services in six states. Prior authorization (PA) has been a relatively small part of the Traditional ...

Rep. Lois Frankel said she is pushing back against a movement to add prior-authorization requirements to Medicare and to use ...

The WEDI baseline survey shows many providers and payers have yet to start implementing the requirements of the Centers for Medicare and Medicaid Services' Advancing Interoperability and Improving ...

While the AHA has called on CMS to rethink its plan to add prior authorization requirements to traditional Medicare, some argue that the program is due for some utilization management. CMS has sparked ...

Many private health insurers require medical providers to get approval before administering treatment, sometimes resulting in delayed or denied care for patients. Now, that tactic, known as prior ...

Abridge, which serves more than 200 health systems, is projected to support over 80 million patient-clinician conversations ...

(Reuters) -Humana said on Tuesday it would eliminate about one-third of prior authorizations for outpatient services by next year, the latest insurer to address the tedious paperwork process that has ...