The fifth annual Abarca Forward conference, hosted by the pharmacy benefit manager (PBM) Abarca Health at its headquarters in ...

Major US health insurers have eliminated roughly 11% of prior authorization requirements and introduced new ...

Some Medicare recipients are set to experience a new “prior authorization” measure as the Centers for Medicare & Medicaid Services (CMS) trials its much-discussed “Wasteful and Inappropriate Service ...

Forbes contributors publish independent expert analyses and insights. Diane Omdahl is a Medicare expert who keeps her readers in the know. On June 27, 2025, the Centers for Medicare and Medicaid ...

Major health insurance providers have agreed to reduce the need for prior authorization — the requirement that patients must get approval from insurers before receiving certain treatments or risk ...

But making sense of the numbers isn't easy, experts say ...

Providers are betting on artificial intelligence to ease the pain point of prior authorization, a new survey shows. Cohere Health, which provides clinical intelligence to insurers and risk-bearing ...

June 23 (UPI) --Major American insurers announced Monday that they have agreed to speed up and smooth out the processes involved with the reception and administration of health care by streamlining ...

Centers for Medicare & Medicaid Services Administrator Dr. Mehmet Oz listens to Secretary of Health and Human Services Robert F. Kennedy Jr. speak during a news conference to discuss health insurance ...

The Electronic Frontier Foundation is seeking more information on the government’s agreements with participating vendors, ...

Between one-off charges, administrative fees, and office visit copays, some are trying ...