CNN

Insurers promised to ease a major patient pain point after executive’s murder. Here’s what’s happened

A year ago, the fatal shooting of a health insurance executive on a Manhattan sidewalk unleashed many Americans’ pent-up frustration with insurers’ delays and denials of care. UnitedHealthcare CEO ...
The National Law Review

Medicare Launches Prior Authorization Pilot for Select Services in Six States: What Hospitals Need to Know

We collaborate with the world's leading lawyers to deliver news tailored for you. Sign Up for any (or all) of our 25+ Newsletters. Some states have laws and ethical rules regarding solicitation and ...
The National Law Review

Answering the Call for Prior Authorization Reform

We collaborate with the world's leading lawyers to deliver news tailored for you. Sign Up for any (or all) of our 25+ Newsletters. Some states have laws and ethical rules regarding solicitation and ...
Becker's Hospital Review

AHA pushes CMS to delay Medicare prior authorization pilot

The American Hospital Association is urging CMS to delay its Medicare prior authorization pilot — the Wasteful and Inappropriate Service Reduction initiative — by at least six months. “This timeframe ...
The New York Times

The Health Insurance Prior Authorization Memo That You Helped Write

Recently, we put together a template to help medical professionals explain a confusing process. Readers gave us very pointed feedback, so we updated it. By Ron Lieber Two months ago, I shared my tale ...
Morningstar

Surescripts Touchless Prior Authorization Surpasses 76,000 Prescribers, Ushering in a New Era of Medication Access

Surescripts®, the nation's leading health intelligence network, today announced a major expansion of its Touchless Prior Authorization technology, now reaching more than 76,000 prescribers across the ...
Health Affairs

Expanding Prior Authorization In FFS Medicare: Three Implementation Priorities

In 2026, the Centers for Medicare and Medicaid Services (CMS) will expand prior authorization in the fee-for-service program through the Wasteful and Inappropriate Service Reduction (WISeR) Model.
The Denver Post

Colorado to reinstate prior authorization for Medicaid patients’ therapy

Getting your Trinity Audio player ready... Therapists treating Medicaid enrollees in Colorado will have to get the state’s authorization to conduct more than 24 sessions with an individual patient in ...
Healthline

What To Do If Your Insurer Wants Prior Authorization?

An insurance company often requires this type of preapproval for certain services, procedures, prescription medications, and medical supplies. Your healthcare team can often help you navigate this ...
MedPage Today

GLP-1 Scripts for Seniors? Expect Prior Authorizations

The proportion of Medicare Part D beneficiaries subject to prior authorization for GLP-1 drugs jumped from just a fraction through 2023 to nearly all by 2025. Out-of-pocket costs likewise were steady ...
Columbus Dispatch

Medicare to require prior authorization for some procedures in Ohio starting in 2026

The program, called WISeR, aims to reduce wasteful spending and fraud in the Medicare system. Doctors and Democrats have raised concerns that the pre-approval process could delay or deny necessary ...
Cleveland.com

Traditional Medicare adding prior authorization requirements in Ohio

CLEVELAND, Ohio — A new Medicare pilot program, the Wasteful and Inappropriate Service Reduction (WISeR) Model, is set to launch next year in Ohio and five other states, potentially changing how older ...