The new KFF report found that payers either fully or partially denied 4.1 million prior authorization requests in 2024, or ...

While the cost of health care remains the dominant worry among Americans, the process of obtaining prior authorization from ...

One third insured adults say prior authorization is a major burden in accessing care, highlighting insurer delays and denials as key issues.

The Centers for Medicare and Medicaid Services (CMS) has implemented prior authorization requirements for certain traditional ...

Acquisition strengthens Onyx’s ability to help health plans modernize ePA, scale to meet CMS deadlines, and maximize ...

A KFF survey published today found that people view prior authorization as the biggest challenge beyond costs when navigating the health care system. In terms of issues people viewed as a “major ...

The federal government has begun using artificial intelligence to review whether certain treatments are necessary for ...

New partnership pilots Ethermed’s AI-driven prior authorization automation inside Tanner Health’s Epic environment.

Prior authorization has long been a sticking point between payers and providers, with payers arguing that it’s necessary to control costs and ensure that care is medically necessary and providers ...

CVS Health (CVS) on Thursday announced that it plans to make a large portion of its prior authorization procedures consistent ...

The House Banking and Insurance Committee advanced a bill on Wednesday, Jan. 14 that would allow certain health care ...

On January 14, 2026, Massachusetts Governor Maura Healey announced that the Division of Insurance (DOI) will be promulgating ...