Major health insurers are advancing efforts to standardize prior authorization requirements as part of an effort to simplify ...

UnitedHealthcare’s $80 billion commercial business is planning more prior authorization rollbacks and wants to be seen as a better partner to the health systems it negotiates with, the unit’s CEO and ...

Availity ®, the nation’s largest health information network, today released its first annual Availity Abrasion Index, a research-informed report that measures where administrative friction between ...

Several provider groups pressed Medicare officials Tuesday to install several proposed reforms to prior authorization, including mandating an electronic process for plans to approve requests.

The CMS 2026 Prior Authorization Rule, effective January 2026, mandates payers in Medicare Advantage, Medicaid, CHIP, and ACA markets to adopt FHIR-based APIs, electronic prior authorization, and ...

New legislation aims to make post-acute care services more accessible and streamline prior authorization approval in Medicare ...

This story was originally published on Healthcare Dive. To receive daily news and insights, subscribe to our free daily Healthcare Dive newsletter. The CMS will soon make it more difficult for ...

Payers and providers came out in support of a new rule from the CMS proposing requirements on certain health insurers in a bid to improve the prior authorization process, though provider groups say ...

The Centers for Medicare & Medicaid Services (CMS) has proposed a 2026 rule expanding prior authorization reforms to include drugs under both medical and pharmacy benefits. The plan mandates ...

I mean, we have patients to see, folks! No one, and I mean no one, has time for that. Well, some good news for all of you in the industry secondary to part of the Biden-Harris administration’s ongoing ...

TEL AVIV, Israel, Dec. 3, 2025 /PRNewswire/ -- PlainID, the leading provider of policy-based authorization solutions, announced its inclusion as a Representative Provider in the Gartner® Innovation ...