Here's how 'incident reports' detail interactions between federal immigration enforcement officers and staff at city shelters ...

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

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 National Council of Insurance Legislators (NCOIL) has adopted the Prior Authorization Reform Model Act at its 2025 Annual ...

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 ...

(L-R) White House AI and Crypto Czar David Sacks, Secretary of Health and Human Services Robert F. Kennedy Jr., President Donald Trump, Centers for Medicare and Medicaid Services Administrator Mehmet ...

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

Develop Health, an AI-powered eligibility and prior authorization automation platform, today announced its integration with athenaOne, bringing its end-to-end access automation directly into ...

CMS compliance deadlines and heightened cybersecurity expectations are accelerating payer interoperability and utilization management modernization while shifting vendor selection toward platforms ...

St. Peter’s Healthcare System prepared its staff and processes for the new Medicare prior authorization pilot starting January ...

We write stories that make you richer. Take a second right now: Follow us and get tips that will change your life. For decades, Original Medicare (sometimes called traditional Medicare) has been known ...