CLEVELAND — Nearly all health insurers use "prior authorization requirements," meaning your health provider has to prove why you need what they're prescribing to your health insurer. Health insurers ...

On Monday, commercial insurer Cigna said it is no longer requiring prior authorization for certain CT exams, including those involving the heart, coronary arteries and bypass grafts with contrast.

Aug 24 (Reuters) - Health insurer Cigna Group CI.N said on Thursday it would remove the use of prior authorization or paperwork required to get approval for insurance coverage for 25% of medical ...

The Medicare pre-authorization system, originally created to control costs and prevent fraud or overuse, is set for major changes in the coming years. These reforms will differ significantly between ...

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 ...

Prior authorization is a commonly-cited pain point for physicians, leading to potentially lengthy delays in care as docs await insurers' OK to proceed with treatment. That's why Portland-based health ...

One physician is making the case that prior authorization for procedures should be reported to insurance plans as a CPT code—though that proposal has been withdrawn for now. Alex Shteynshlyuger, M.D., ...

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