Prior authorization is no longer just an administrative hurdle for ASCs; it is a defining constraint on growth. As authorization requirements expand, policies shift and payer scrutiny intensifies, ...

Ohio is participating in a pilot program that will use artificial intelligence to determine approvals for around a dozen ...

California is one of 31 states that passed laws in 2025 limiting insurance companies’ use of prior authorization to approve ...

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

Prior authorization (PA) is a widely used insurance mechanism intended to ensure cost-effective, evidence-based care. However, in practice, it often imposes significant administrative and clinical ...

The pilot, launched in January 2026 in 6 states, could reduce wasteful spending, but increases provider paperwork and risks ...

CVS Health (CVS) on Thursday announced that it plans to make a large portion of its prior authorization procedures consistent with cross-payer clinical and technology standards. Therefore, the company ...

At a summit Wednesday, Feb. 11, health care policy wonks, lawmakers, doctors and academics discussed the challenges facing ...

Many spine and orthopedic leaders say the greatest source of friction in their practices comes from administrative resistance. From prior authorizations to reimbursement cuts and mounting operational ...

Hospital systems deal with plenty of administrative barriers when it comes to reporting expenses, managing staff, ...

Some medical procedures and treatments require prior authorization from your health insurance company, meaning you'll need pre-approval before you can receive care. This episode, health care reporter ...