As the year comes to a close, the Trump administration seems to be going in two different directions when it comes to the use ...

The idea behind it seems reasonable: Insurers want to ensure treatments are medically necessary before they pay for them. But in practice, it often means delayed appointments, stalled medication ...

More than 50 major insurers have pledged to streamline prior authorization starting in 2026, but providers remain cautiously optimistic and skeptical that the changes will truly reduce burden or ...

The Department of Homeland Security has issued an update to industry partners clarifying the current status of its Small ...

Electronic health record providers are starting work that could transform how nursing homes grapple with prior authorization requests and length of stay determinations.

Payers have new deadlines to issue prior authorization decisions — 72 hours for urgent requests and seven days for non-urgent ones. Prior authorization is a process wherein a doctor must get approval ...

President Donald Trump is signing his first National Defense Authorization Act of his second term. He is set to sign the ...

Forbes contributors publish independent expert analyses and insights. Jesse Pines is an expert in healthcare innovation and wellness. Health insurer prior authorization has increased considerably in ...

The start of the legislative session is just around the corner. Beginning in December, the Missouri Senate allows senators to ...

When Paula Chestnut needed hip replacement surgery last year, a pre-operative X-ray found irregularities in her chest. As a smoker for 40 years, Chestnut was at high risk for lung cancer. A specialist ...

A credit card authorization key is a secure code used to process transactions, confirming purchases and preventing fraud ...