Becker's Hospital Review

Abridge, Availity team up on real-time prior authorization

AI clinical conversation platform Abridge is partnering with health information network Availity to launch a real-time prior ...

South Country Health Alliance Selects Itiliti Health’s PA Checkpoint to Streamline Prior Authorization Transparency

MINNEAPOLIS, MN, UNITED STATES, January 11, 2026 /EINPresswire.com/ -- Itiliti Health is proud to announce that South ...
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

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 ASC

CMS’ new WISeR prior authorization model: What ASCs need to know

The Wasteful and Inappropriate Service Reduction initiative from CMS is set to take effect Jan. 1, 2026, introducing new prior authorization requirements for select services. Here are seven things to ...
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 ...
Medscape

Prior Auth Hurdles Ramp Up for Patients and Oncologists

Three new studies highlighted the growing burden of prior authorization on both oncologists and patients. Findings from a survey of radiation oncologists, for instance, revealed that more than 80% ...
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 ...
Insurancenewsnet.com

Prior authorization subject of NCOIL model act

Prior authorization has become a hot-button issue in health care, and the National Council of Insurance Legislators will tackle the issue at its annual meeting in November. A draft of NCOIL’s Prior ...
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 ...
MedPage Today

Prior Authorization Continues to Bedevil Congress

As congressional Democrats and Republicans battle over how to avert a potential government shutdown, another issue -- reining in prior authorizations -- remains on both parties' radar screens, ...