A top health official at the Centers for Medicare & Medicaid Services (CMS) hedged on payment reform, but committed to helping physicians address prior authorization challenges, during the American ...

About 32% of Americans say prior authorization requirements are a major burden, more than billing confusion or finding ...

These health care hurdles can stand in the way of getting treatment your doctor says you need. Here's what to know about how to deal with them.

A top federal health official said he hopes the Trump administration’s efforts to whittle down the insurance industry’s use of prior authorizations will produce results “in double-digit months” ...

"Medically necessary" is often a four-letter word for patients.

California is one of 31 states that passed laws in 2025 limiting insurance companies’ use of prior authorization to approve ...

Health insurers are cautioning that prior authorization reforms could worsen health care cost increases, but a stream of doctors say the current system is plagued by administrative burdens and ...

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 ...

When the doctor says you need a prescription or treatment, sometimes you need approval from your health insurance first.

The Alabama Senate has passed legislation that would impose new requirements on insurers that use AI to make prior authorization decisions, including a mandate that any decision to deny a request must ...

Dana Kelso Spradling says she's dealing with an insurance nightmare, after the medication she had already received a prior authorization for is now being denied.