Topic
prior authorization
6 stories related to this topic, newest first.
Forbesfinance23 days ago
UnitedHealthcare to Cut Two-Thirds of Prior Approvals for Patients Under 18
UnitedHealthcare said it will remove two-thirds of authorization requirements for members under age 18 by the end of 2026. The change applies to commercial and Medicaid plans and covers many diagnostic services, routine procedures, and specialty care.
nypost.comai30 days ago
Democrats Introduce Resolutions to End Medicare AI Pilot Program
Democratic lawmakers have introduced resolutions in the House and Senate to repeal the WISeR model, a Medicare pilot using AI for prior authorization in six states. The program runs through 2031 and pays contractors based on cost savings from denied services.
Cnbcfinance37 days ago
CMS Administrator Oz Joins CNBC to Discuss Healthcare Prior Authorization Coalition and Medicare Fraud
Dr. Mehmet Oz appeared on CNBC's Squawk Box to address the formation of an industry-wide coalition of 29 healthcare companies aimed at simplifying prior authorization. Oz, Administrator of the Centers for Medicare & Medicaid Services, highlighted efforts to combat healthcare frau…
medpagetoday.comscience55 days ago
Archelle Georgiou Previously Reduced Prior Authorizations at Major Health Insurer
Archelle Georgiou, who has experience addressing prior authorization practices, helped reduce them years ago at a large health insurance company. The company is now the largest in the United States. This background informs her understanding of public frustrations with the process…
medpagetoday.comworld58 days ago
50 Health Insurers Commit to Standardizing Prior Authorization for Key Services
Major health insurance companies, including UnitedHealthcare, Aetna and Cigna, committed to standardizing electronic prior authorization requests for services like orthopedic surgeries and imaging. The move spans commercial, Medicare Advantage and Medicaid managed care plans.
Substrate placeholder — needs reviewworld75 days ago
US Health Insurers Simplify Prior Authorization for Certain Medical Treatments
Major US health insurers have implemented changes to streamline the prior authorization process for specific treatments, according to industry groups. These adjustments aim to reduce administrative burdens on physicians. The changes follow federal recommendations issued earlier t…
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