New partnership pilots Ethermed’s AI-driven prior authorization automation inside Tanner Health’s Epic environment.

Does Medicare require prior authorization? Medicare Advantage plans often require prior authorization. But these coverage reviews are rare for original Medicare. That distinction changes in 2026. Many ...

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 ...

Prior authorizations can affect both health system operations and worsen physician burnout. What does existing research show about how prior authorization requirements affect health system operations?

The Centers for Medicare and Medicaid Services (CMS) has implemented prior authorization requirements for certain traditional fee-for-service Medicare services in six states starting this year. Here ...

Initially meant to protect patients from unnecessary procedures, prior authorizations have shifted towards being a cost containment strategy for health payers. This shift is causing significant ...

Have you ever walked into the pharmacy and been told that your prescription requires a prior authorization? But your healthcare professional prescribed something for you, and you brought in your ...

June 23 (UPI) --Major American insurers announced Monday that they have agreed to speed up and smooth out the processes involved with the reception and administration of health care by streamlining ...

Top officials in the Department of Health and Human Services (HHS) are touting a multipronged effort from major payers to reform the oft-criticized prior authorization process. Mehmet Oz, M.D., ...

Health insurer Humana has said it’s engaging in efforts to streamline the prior authorization process, in part by approving care requests as quickly as possible and reducing the administrative burdens ...