CVS Health (CVS) announces major changes to its prior authorization procedures to ensure continuity of care for patients.

There is a good reason for health insurers to occasionally require prior authorization for medical treatment. If a doctor ...

The program is becoming more restrictive in certain areas.

Rep. Lois Frankel said she is pushing back against a movement to add prior-authorization requirements to Medicare and to use ...

Beginning Jan. 1, 2026, 17 medical procedures will require prior authorization for patients under the traditional Medicare plan in six states Ohio, Arizona, New Jersey, Oklahoma, Texas and Washington ...

D: 8 p.m. ETThe House Ways and Means Committee hearing has concluded, bringing a long day of questioning for major health ...

Administration comprises 25% of all healthcare costs, making it a key target for automation. Organizations are using AI to ...

Relationships across the ASC ecosystem are under growing strain, but ASC leaders say payers are the clear pressure point. Five executives joined Becker’s to discuss how denials, shifting policies and ...

Ben Diestel, SVP of Innovation at Cardiovascular Associates of America, said: ...

"Medically necessary" is often a four-letter word for patients.

Forbes contributors publish independent expert analyses and insights. Bruce Japsen writes about healthcare business and policy. Patrick Conway, the chief executive officer of UnitedHealth Group's ...

For Morgan Lorio, MD, speaking out about healthcare policy is a necessity, not a theory. He recently published an analysis in ...