Over 6 million Americans on Medicare will now need to get prior authorization from AI for these 17 procedures

A six-state pilot program will target “wasteful care” under Medicare, Centers for Medicare & Medicaid Services says.

New Medicare Program: Full List of Services That Will Need Prior Approval

Medicare is launching a new pilot program that will require prior approval for 17 health services using artificial ...

In 2026, Health Insurers To Push Simplicity And Speed Of Approvals

Health insurance companies are expected to hold to their promises in 2026 to “streamline, simplify and reduce” prior ...
CNN

States target health insurers’ ‘prior authorization’ red tape

Christopher Marks noticed an immediate improvement when his doctor prescribed him the Type 2 diabetes medication Mounjaro last year. The 40-year-old truck driver from Kansas City, Missouri, said his ...
KHQ

Prior Authorization: AHIP’s Commitments

In August, AHIP, the trade association for health insurance companies representing the industry’s top players, announced that they reached a deal with the White House to reform prior authorization for ...
phillyvoice.com

Prior authorization, a system that harms and frustrates patients, may be reined in

When Paula Chestnut needed hip replacement surgery last year, a pre-operative X-ray found irregularities in her chest. As a smoker for 40 years, Chestnut was at high risk for lung cancer. A specialist ...
MobiHealthNews

Creating a blueprint for agentic AI in claims and prior authorization

Ahead of HIMSS26, Sairohith Thummarakoti of Texas A&M University–Kingsville previews his talk on how agentic AI and low-code ...
NBC DFW

Health insurers promise changes to prior authorization process. What to know

The nation’s major health insurers are promising to scale back and improve a widely despised practice that leads to care delays and complications. UnitedHealthcare, CVS Health's Aetna and dozens of ...
Oregonian

Major health insurers vow to ease prior authorization rules following delays and patient complaints

The nation’s major health insurers are promising to scale back and improve a widely despised practice that leads to care delays and complications. UnitedHealthcare, CVS Health’s Aetna and dozens of ...
WBAL-TV

Health insurers promise to improve coverage reviews that prompt delays and complaints

The nation’s major health insurers are promising to scale back and improve a widely despised practice that leads to care delays and complications.UnitedHealthcare, CVS Health's Aetna and dozens of ...
Healthcare Dive

Medical groups say prior authorization burdens persisted during pandemic

Health plans have been expanding the use of prior authorization as a tool to control costs for several years, to the frustration of physicians. MGMA members put the practice at the top of a list of ...

Hundreds of California ex-teachers lose medical coverage

Hundreds of former California teachers will no longer have medical coverage now that the contract deadline for Aetna and Community Medical Centers and Community Health Partners has passed. Fresno ...