The proposed rule could amplify the meaningful progress made by healthcare technology innovators and provide a more comprehensive framework.

Despite the horror tales of patients being denied or delayed care for medical procedures, lawmakers have failed to legislate change that fixes ongoing problems with prior authorization. (Getty ...

The Journal of Clinical Oncology podcast, hosted by Dr. Davide Soldato, presents analyses and discussions centered on the latest findings published in ASCO’s esteemed Journal of Clinical Oncology.

Forbes contributors publish independent expert analyses and insights. Jesse Pines is an expert in healthcare innovation and wellness. This voice experience is generated by AI. Learn more. This voice ...

Traditional Medicare plan holders have typically not had to wait for prior authorization before receiving medical treatment. Until now. The Centers for Medicare & Medicaid Services (CMS) recently ...

Imposing a new prior authorization requirement increased the likelihood that older patients with cancer will delay or stop filling their prescription for oral anticancer drugs, a new study showed.

Prior authorization is a major thorn in the side of providers, adding to their administrative burden and hampering their ability to provide timely care to patients. It is also a source of frustration ...

Beyond greater transparency, the rule also aims to support electronic prior authorization, CMS said. (Piotrekswat/Getty Images) The Trump administration has issued a proposed rule that aims to ...

Legislation aimed at reducing delays when Medicare Advantage plans require preapproval for care could hit the House floor ...

Remember that physician who wanted to develop a Current Procedural Terminology (CPT) code for prior authorizations? It hasn't happened yet, but he hasn't given up on it, either. In May, Alex ...

"There are some things I know are going to be universally difficult -- I know I can't order an MRI on anyone without a prior authorization, no matter what your insurance is and no matter what the ...