Healey unveils plan to reform health care insurance 'prior authorization' requirements

Massachusetts insurance regulators unveiled sweeping prior authorization reforms that would scrap pre-approval requirements ...
The Hill

New Biden rule cracks down on insurers’ use of prior authorization

A new Biden administration rule released Wednesday aims to streamline the prior authorization process used by insurers to approve medical procedures and treatments. Prior authorization is a common ...
Healthcare Dive

CMS finalizes rule tightening prior authorization turnaround for insurers

Payers have new deadlines to issue prior authorization decisions — 72 hours for urgent requests and seven days for non-urgent ones. Prior authorization is a process wherein a doctor must get approval ...
Forbes

How Health Insurance ‘Prior Authorization’ Works. And How To Fix It

Forbes contributors publish independent expert analyses and insights. Jesse Pines is an expert in healthcare innovation and wellness. Health insurer prior authorization has increased considerably in ...
JD Supra

CMS Interoperability and Prior Authorization Rule Significantly Impacts Payers’ Approval and Denial Practices

On January 17, 2024, the Centers for Medicare & Medicaid Services (CMS) issued the CMS Interoperability and Prior Authorization final rule (Final Rule) (fact sheet, CMS’ interoperability website), ...
MedPage Today

CPT Code for Prior Authorization May Still Happen -- Eventually

Remember that physician who wanted to develop a Current Procedural Terminology (CPT) code for prior authorizations? It hasn't happened yet, but he hasn't given up on it, either. In May, Alex ...