Latest updates for Prior Authorization

Fresh curated links around prior authorization are collected here so marketers can spot useful updates and turn timely ideas into posts faster.

Recent items include:

  • What do Medicare Advantage enrollees think about prior authorization? Actions speak louder than words
  • Updates on prior authorization: What’s changed and will it make a difference?
  • When Access Tightens, Prior Authorization Execution Becomes the Differentiator

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Fresh articles and ideas

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healthcare-economist.com /1 day ago

What do Medicare Advantage enrollees think about prior authorization? Actions speak louder than words

Do Medicare Advantage enrollees like plans with more prior authorization? On the one han, one would think the answer is a clear ‘no’. However, higher levels of prior authorization...

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healio.com /3 weeks ago

Updates on prior authorization: What’s changed and will it make a difference?

Last year, HHS and dozens of health insurers announced an industry pledge to streamline and reduce prior authorization.According to America’s Health Insurance Plans (AHIP), that pl...

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cafepharma.com /5 days ago

When Access Tightens, Prior Authorization Execution Becomes the Differentiator

When Access Tightens, Prior Authorization Execution Becomes the Differentiator Anonymous (not verified) Fri, 07/10/2026 - 09:11 pharmagather item url When...

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fiercehealthcare.com /1 month ago

OIG: Frequent MA prior authorization denials for long-term care hospitals, inpatient rehab

A new federal watchdog report dings the three largest Medicare Advantage insurers for frequent prior authorization denials for long-term care hospital and inpatient rehabilitation...

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ryortho.com /1 month ago

UnitedHealthcare Nixing Prior Authorization?

Not a headline we thought we’d ever see: UnitedHealthcare Nixing Prior Authorization?

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ksn.com /1 month 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 month 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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orthotw.com /1 month ago

UnitedHealthcare Nixing Prior Authorization?

Not a headline we thought we’d ever see: UnitedHealthcare Nixing Prior Authorization?

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kxan.com /1 month 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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bioengineer.org /1 month 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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savingadvice.com /1 day ago

What to Do When a Pharmacy Says Your Drug Needs Prior Authorization

Few things are more frustrating than standing at the pharmacy counter, ready to pick up a vital medication, only to be told it isn’t covered...

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webwire.com /2 weeks ago

Prior authorization reform gets promising start from House health panel

Statement is attributable to: - John Whyte, MD, MPH - CEO, American Medical Association - - “The American Medical Association commends the House Energy and Commerce Health...

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newswire.com /1 month ago

eviCore by Evernorth Rated #1 as Prior Authorization Becomes a Top Health Plan Technology Acquisition Priority

Q2 2026 Black Book payer IT client scores recognize top performance in PA workflow control, UM execution, medical-policy governance, clinical decision support and 2027 readiness

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vjrussolaw.com /1 month ago

What to Know About Prior Authorizations for Medications

For many older adults, taking prescription medications is part of everyday life. Drugs for high blood pressure, diabetes, arthritis, heart disease, and other conditions help people...

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fiercehealthcare.com /1 month ago

UnitedHealthcare to nix nearly two thirds of pediatric prior auths

UnitedHealthcare is set to eliminate close to two-thirds of pediatric prior authorization requirements by the end of the year.

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vtdigger.org /1 month ago

When prior authorization becomes prior aggravation

Insurance red tape is delaying care, driving up costs and consuming hours of physicians' time — and patients are paying the price. Read the story on VTDigger here: When prior auth...

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medcitynews.com /1 month ago

OIG: 3 Largest MA Insurers Deny Prior Auth Requests at High Rates for Long-Term Acute Care, Inpatient Rehab

An OIG report found that the three largest Medicare Advantage insurers denied prior authorization requests for long-term acute care and inpatient rehabilitation at higher rates tha...

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healio.com /1 week ago

CMS rule reforming prior authorization still needs work, ACR says

A new CMS proposed rule would reduce the burden of prior authorizations by further shortening payer decision timeframes and increasing transparency, but still does not go far enoug...

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natlawreview.com /2 weeks ago

Is the WISeR Prior Authorization Pilot Dead or Alive?

The House Appropriations Committee voted to effectively defund the Wasteful and Inappropriate Service Reduction (WISeR) prior authorization pilot, a program that has faced bipartis...

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savingadvice.com /1 month ago

CMS’s New AI-Powered Prior Authorization System: Will It Speed Up Approvals or Deny Seniors Critical Care?

For years, seniors and doctors have complained that prior authorization delays can feel like a second illness layered on top of an existing medical problem....

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fiercehealthcare.com /1 month ago

House Appropriations Committee takes aim at CMS' WISeR pilot

A key legislative panel voted Tuesday to bar the Centers for Medicare & Medicaid Services from spending funds on a controversial prior authorization pilot.

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healthcareittoday.com /1 month ago

How a CMS Proposed Rule Would Bridge the Divide Between EHRs and Payers on Electronic Prior Authorization

The following is a guest article by Tyler Wince, VP of Product & Technology for Specialty Solutions at DrFirst.  This article is the next in the Healthcare Regulatory Talk seri...

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kevinmd.com /1 month ago

Prior authorization delays vital transplant medication

I am a heart transplant recipient. I understand the responsibility that comes with the organ I was given. I take my medications exactly as prescribed. I go to my appointments. I mo...

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Sources covering Prior Authorization

rssfeeds.webwire.com

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cafepharma.com

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bioengineer.org

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feeds.feedburner.com

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medcitynews.com

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ryortho.com

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