Regulators should target prior authorizations and underpayment to address emergency department boarding, experts said Tuesday ...

Health insurers covering more than 250 million Americans have unveiled a sweeping plan to streamline and reduce prior authorization requirements — a long-standing source of frustration and burnout for ...

Health insurance companies have pledged to improve prior authorization with 6 key reforms, according to the HHS.

Optum Rx is nixing reauthorization requirements for more than 60 additional medications. | The PBM giant's list of drugs ...

Below is a roundup of payer-centric news headlines you may have missed during the month of June 2025. | In June, Gold Coast ...

About 1 in 6 insured adults in the U.S. say they’ve had trouble with prior authorizations, according to a recent survey from health policy group KFF.

UnitedHealth stock outlook is in sharp focus as shares stay locked between $300 and $310. With Q2 earnings approaching and ...

Ted Okon, MBA, of the Community Oncology Alliance discusses how community oncology faces a revenue crisis due to the ...

An Orange County man and two other suspects have been charged with carrying out a nearly $270 million Medi-Cal fraudulent ...

The model will leverage AI and machine learning for prior authorization of services vulnerable to fraud or inappropriate use, CMS says.

The challenge of ensuring equitable access to life-saving treatments has become increasingly critical, particularly as ...

As the Senate GOP continues to struggle to pass its domestic policy megabill, several key decisions by the parliamentarian ...