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jdsupra.com /2 weeks ago

Prior authorization reform: A hybrid approach of regulatory requirements and voluntary commitments

Reforming prior authorization processes has been on the regulatory menu for a while. Both patients and providers have argued that prior authorization is a complex and burdensome pr...

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fiercehealthcare.com /1 month ago

Proposed CMS rule would set prior auth deadlines for drugs

The Trump administration has issued a proposed rule that aims to significantly overhaul prior authorization for pharmaceuticals.

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aha.org /3 weeks ago

CMS announces electronic prior authorization initiative

The Centers for Medicare &amp; Medicaid Services yesterday announced a new electronic prior authorization initiative as part of its Health Technology Ecosystem. CMS Administrat...

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healio.com /1 month ago

Prior authorization delays spine surgery without savings

NEW ORLEANS — Patients who experience delays in elective spine surgery due to the preauthorization approval process had prolonged pain with no cost savings for the health care syst...

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aha.org /2 weeks ago

AMA survey shows physicians, patients continue to be heavily burdened by prior authorization

A majority of physicians say the prior authorization process continues to negatively impact patient outcomes and employee productivity, according to a survey released May 13 by the...

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jdsupra.com /1 month ago

UnitedHealthcare Promises to Ease Prior Authorization Burden for Rural Hospitals

UnitedHealthcare (UHC) promises to exempt roughly 1,500 rural hospitals and all critical access hospitals from most prior authorization requirements across all lines of business by...

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blogforarizona.net /1 month ago

“Prior Authorization” Makes Medicare Patients Sicken and Die

While America’s largest insurance companies rake in tens of billions in profits, they are simultaneously forcing doctors to beg for permission to treat patients—patients who are of...

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ksn.com /1 day ago

UnitedHealthcare removing prior approval for most pediatric services

The move is part of a broader effort by insurance companies to respond to a growing backlash over prior authorization requirements.

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wkbn.com /1 day ago

UnitedHealthcare removing prior approval for most pediatric services

The move is part of a broader effort by insurance companies to respond to a growing backlash over prior authorization requirements.

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aha.org /2 weeks ago

CMS announces first 29 health care organizations to join electronic prior authorization initiative

The Centers for Medicare &amp; Medicaid Services May 13 announced 29 health care organizations have pledged early participation in its electronic prior authorization initiative...

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medcitynews.com /1 month ago

UnitedHealthcare Expands Rural Healthcare Initiatives, Reduces Prior Auth Requirements

UnitedHealthcare is exempting rural providers from most prior authorization requirements. The post UnitedHealthcare Expands Rural Healthcare Initiatives, Reduces Prior Auth Require...

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insurancebusinessmag.com /1 month ago

UnitedHealth, CVS standardize prior authorization rules

Carriers are racing to deliver on sweeping commitments as Washington tightens the screws

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kxan.com /14 hours ago

UnitedHealthcare removing prior approval for most pediatric services

The move is part of a broader effort by insurance companies to respond to a growing backlash over prior authorization requirements.

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fiercehealthcare.com /1 month ago

UnitedHealthcare, Aetna, Cigna tout progress to standardize prior authorization as part of industry-wide commitment

Major health insurers are advancing efforts to standardize prior authorization requirements as part of an effort to simplify paperwork for providers and reduce delays in medical ca...

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bioengineer.org /1 week ago

Prior Authorization Criteria Differ Significantly Across Leading Commercial Insurers

In the ever-complex landscape of healthcare administration, one of the most confounding challenges faced by clinicians and patients alike is the variability in prior authorization...

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natlawreview.com /1 month ago

CMS Proposes Major Changes to Drug Prior Authorization Processes: What You Need to Know

On April 14, 2026, the Centers for Medicare and Medicaid Services (“CMS”) published a proposed rule[1] that would require faster prior authorization (“PA”) decisions, expand electr...

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theheartysoul.com /2 weeks ago

UnitedHealthcare Is Dropping Prior Authorization for 30% of Services – Here’s What It Means

Every American who has ever needed surgery, a scan, or a specialist referral knows the particular dread of those three words: “prior authorization required.” It means your doctor h...

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ksn.com /3 weeks ago

UnitedHealthcare to eliminate prior authorization for 30% of services

UnitedHealthcare plans to eliminate prior authorization requirements for 30% of services by the end of 2026.

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savingadvice.com /1 month ago

Medicare Advantage Prior‑Authorization Denials Jumped 56% — New April Rules Aim to Fix It

If you’ve ever had a doctor recommend a treatment—only to be told you need “approval first”—you’ve experienced prior authorization. For millions of seniors on Medicare...

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insurancebusinessmag.com /1 month ago

Health insurers reduce prior authorization by 6.5 million

Appeals overturn most denials

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medcitynews.com /1 month ago

Insurers have Cut Prior Auth by 11% Following Commitments

Health insurers have reduced prior authorizations by 11% and are continuing reforms to streamline and speed up approvals, according to an announcement from AHIP and Blue Cross Blue...

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helpsquad.com /1 month ago

Prior Authorization Outsourcing for Medical Practices: A Practical Workflow Checklist

Practices lose 13 hours a week chasing insurance approvals. This healthcare guide lays out a prior auth outsourcing workflow that frees front-desk and billing staff.

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fiercehealthcare.com /1 month ago

Rethinking Prior Authorization for Better Outcomes

Abarca’s Javier Gonzalez explores how trust, tech and policy can transform prior authorization and improve access and efficiency.

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kxan.com /3 weeks ago

UnitedHealthcare to eliminate prior authorization for 30% of services

UnitedHealthcare plans to eliminate prior authorization requirements for 30% of services by the end of 2026.

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